• Hybrid, CA
  • $20–$22 Per Hour
  • Instant Apply
3 days ago

Job Description

Day to Day Responsibilities

(Being thorough in this section will allow the suppliers to pre-identify candidates more accurately.)

  • Coordinate, assist in, and support implementation of procedures and guidelines for the drug prior authorization program for the outpatient Pharmacy Benefit.
  • Evaluate prior authorization requests based on medication policy and operational principles.
  • Provide drug usage history and other pertinent pharmacy benefit related inquiries to internal business partners to assist in case specific reviews and drug evaluations.
  • Communicate with the physician, physician's office staff, pharmacies, and internal business partners to assist with accurate and efficient resolution of pharmacy benefit inquiries.
  • Clearly communicate formulary alternatives and prior authorization criteria, and discuss pharmacy benefit coverage when required.

Software Skills Required

  • Microsoft Word
  • Teams
  • Outlook
  • Excel

Required Certifications

  • CA Pharmacy Tech License Required

Numbers & Facts

LocationHybrid, CA
Salary$20–$22 Per Hour

Skills

  • Access Authorizationunmatched
  • Communication Skillsunmatched
  • Formularyunmatched
  • Medical Officeunmatched
  • Medicationsunmatched
  • Microsoft Outlookunmatched
  • Microsoft Wordunmatched
  • Outpatient Careunmatched
  • Pharmacyunmatched
  • Procedure Implementationunmatched

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