Pharmacy Tech: Managed Care & Prior Authorization Expert

IMCS Group; Portland (OR); On-site; USD 28,000 - 39,000; Full time

Job summary

Providence Health Plan is seeking a Pharmacy Tech to support pharmacy and benefit work within the Pharmacy Services Department. The role interfaces with customers, providers, and regulatory bodies while integrating pharmacy processes with medical review and quality initiatives.

The position requires an Oregon Pharmacy Technician license and advanced Excel proficiency, with on-call weekend coverage a few times a year. Prior experience in managed care is preferred.

Qualifications

• Oregon Pharmacy Technician license required.
• Advanced Excel skills required.
• Bachelor's degree or 2+ years as a pharmacy technician in a managed care environment.

Responsibilities

• Handle technically detailed pharmacy and benefit work affecting operations.
• Communicate with PHP Customer Service, PHP Members, network pharmacies, and regulators.
• Assist with medical review, case management, mental health/chemical dependency, and quality management.

Skills

Advanced Excel

Education

Bachelor's degree or 2+ years as pharmacy tech (managed care)

Tools

Claims processing system

ICD-10 coding

CPT-4 coding

Job description

Providence Health Plan is seeking a Pharmacy Tech to support pharmacy and benefit work within the Pharmacy Services Department. The role interfaces with customers, providers, and regulatory bodies while integrating pharmacy processes with medical review and quality initiatives.

The position requires an Oregon Pharmacy Technician license and advanced Excel proficiency, with on-call weekend coverage a few times a year. Prior experience in managed care is preferred.