Pharmacy Technician - Utilization Review

Prime Therapeutics; Phoenix (AZ); Vor Ort; USD 32.000 - 51.000; Vollzeit

Zusammenfassung

Prime Therapeutics is hiring an Initial Review Pharmacy Technician in Phoenix to execute utilization management programs across health plans. You will assess requests for therapeutic appropriateness and gather clinical information from physicians, patients, and pharmacies to determine reimbursements.

The role requires 2+ years of pharmacy experience, active licensure/registration, and the ability to work in a fast-paced, high-volume setting while maintaining NCQA standards.

Qualifikationen

• Must have 2+ years of pharmacy experience.
• Active licensure/registration per state requirements and national certification where applicable.

Aufgaben

• Review and determine therapeutic appropriateness using clinical criteria.
• Communicate with physicians, prescribers, and pharmacies to gather clinical history.
• Document approvals/denials and maintain required timelines.

Kenntnisse

Verbal and written communications

Team orientation

Analytical skills

Computer literacy / Microsoft Office

Ausbildung

Associate's degree or equivalent experience

HS diploma or GED

Bachelor's degree in Science/Health/Related

Active pharmacy technician license/registration

National certification (PTCB or ExCPT)

Tools

Microsoft Office

Jobbeschreibung

Prime Therapeutics is hiring an Initial Review Pharmacy Technician in Phoenix to execute utilization management programs across health plans. You will assess requests for therapeutic appropriateness and gather clinical information from physicians, patients, and pharmacies to determine reimbursements.

The role requires 2+ years of pharmacy experience, active licensure/registration, and the ability to work in a fast-paced, high-volume setting while maintaining NCQA standards.