Clinical Pharmacy Technician

Clinical Pharmacy Technician

Position: Clinical Pharmacy Technician

Location: Phoenix AZ

Duration: 5 months

Requirements:

• Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.

• Determines appropriateness for medications. Communicates decision to physicians, physician's office staff, medical management staff and/or pharmacists. - Researches, resolves and documents prior authorization outcomes in pharmacy system.

• Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician's office staff, medical management staff and/or pharmacists.

• Escalates requests to Pharmacist when request requires extensive clinical review or denial.

• Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management. Performs other duties as required.

• Requirements/Certifications: Minimum of 6 months dispensing or retail experience required, or equivalent internal training will be substituted. CPT - Certification/licensure in accordance with state requirements. PTCB National certification required.

• Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.

• In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).

• Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.

• Excellent written and verbal communication skills.

• Ability to follow clinical criteria and instructions to approve prior authorization requests. Ability to identify and trouble-shoot problematic issues.

• Pharmacy PTCB - Pharmacy Technician Certification - Pharmacy CPT - Certified Pharmacy Technician – Pharmacy GED (Required) High School (Required).

• 5ppl - Monday - Friday; 9am-5:30pm (30 min lunch).

• 3ppl- Tuesday- Saturday 12pm-8:30pm (30 min Lunch).