Vivid Clear RX Clinical Pharmacy Technician

Vivid Clear Rx; Omaha (NE); On-site; USD 42,000 - 54,000; Full time

Job summary

Vivid Clear Rx in Omaha, NE seeks a Clinical Pharmacy Technician to assist the clinical pharmacist in prior authorization processes. You will evaluate requests, apply clinical criteria, and obtain necessary information from prescribers to support pharmacist review.

The role requires strong attention to detail, confidentiality, and excellent communication skills. Collaboration with leadership is essential to improve processes and support department needs in a fast-paced environment.

Qualifications

• Active National Pharmacy Technician Certification is required.
• PBM/managed care experience is preferred.
• HIPAA training and ability to handle confidential information.

Responsibilities

• Validate all prior authorization requests and verify prescriber and member information.
• Apply clinical criteria accurately for processing prior authorization requests.
• Obtain clinical information from prescribers to support pharmacist review.
• Maintain patient records with confidentiality and accuracy.
• Communicate professionally with members, pharmacies and providers.

Skills

Pharmacy knowledge

Customer service

Attention to detail

Communication skills

Compliance & HIPAA

Education

National Pharmacy Technician Certification

High school diploma or equivalent

Job description

Vivid Clear Rx

Job Title: Clinical Pharmacy Technician

Department: Operations

FLSA: Exempt

General Function: The Clinical Technician assists the clinical pharmacist in all aspects of the prior authorization process. Technician evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.

Reports to: Clinical Pharmacist

Primary Responsibilities

• Validate all prior authorization requests, including but not limited to prescriber and member information, level of review required, and appropriate clinical guidelines
• Understand and apply clinical criteria for processing prior authorization requests in a timely manner
• Proactively obtain clinical information from prescribers or appropriate staff to ensure all aspects of clinical guidelines are addressed for pharmacist review
• Maintain patient records with strong attention to detail and confidentiality
• Establish and maintain positive and professional demeanor with communication with members, pharmacies and providers
• Adhere to all organizational policies, procedures, and HIPPA regulations
• Collaborate with prior authorization leadership to develop and implement process improvements and support long-term department needs
• Other duties or special projects may be assigned as necessary

Professional Competencies

• Knowledge of pharmacy practices, procedures and precedents; ability to read and understand pharmaceutical information
• Working knowledge of drug dosage forms, drug strength, generic & trade name equivalent
• Demonstrate knowledge of Federal & State laws/regulations regarding provisions of pharmaceutical services
• Ability to multi-task and prioritize work
• Customer service and interpersonal skills
• Demonstrated courteous and professional behavior
• Must be organized, detail-oriented and have excellent communication skills (listening, verbal, written, grammar)

Required Qualifications

• Active National Pharmacy Technician Certification
• Pharmacy Benefit Manager (PBM), managed care and/or other pharmacy experience preferred
• Working knowledge of the healthcare industry
• HIPAA trained and /or the ability to work with and protect extremely confidential patient and employee information

Educational Requirements

• High school diploma or equivalent

Physical Requirements

• In an 8 hour day the employee may be asked to lift/carry 20lbs.
• In an 8 hour day the employee may stand/walk approximately 1 hour.
• In an 8 hour day the employee sits approximately 7 hours.