(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
Location
Hybrid, 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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