Pharmacy Utilization Review Technician

Prime Therapeutics; Atlanta (GA); On-site; USD 32,000 - 51,000; Full time

Job summary

Prime Therapeutics is seeking an Initial Review Pharmacy Technician to support medical and pharmacy management initiatives, focusing on utilization management and medication reimbursement. You will review both prospective and retrospective requests for therapeutic appropriateness and coordinate with physicians, patients, and pharmacies to gather clinical information.

The role requires an active pharmacy technician license, 2+ years of pharmacy experience, and familiarity with specialty

Qualifications

• Minimum of 2 years of pharmacy experience.
• Active pharmacy technician licensure or registration as per state requirements.
• If licensure not required, must hold national certification (PTCB or ExCPT).
• Bachelor's degree not required but can be an asset.

Responsibilities

• Reviews patient information to determine therapeutic appropriateness.
• Makes approval recommendations for services meeting clinical criteria.
• References program integrity audits and documents communications with providers.
• Maintains documentation and supports communications with physicians and prescribers.

Skills

Pharmacy experience

Education

Associate's degree in pharmacy or related field

HS diploma or GED

Job description

Prime Therapeutics is seeking an Initial Review Pharmacy Technician to support medical and pharmacy management initiatives, focusing on utilization management and medication reimbursement. You will review both prospective and retrospective requests for therapeutic appropriateness and coordinate with physicians, patients, and pharmacies to gather clinical information.

The role requires an active pharmacy technician license, 2+ years of pharmacy experience, and familiarity with specialty