Our Client, a Health Insurance company, is looking for a Pharmacy Services 2 for their Remote/CA location.
Responsibilities:
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 discusses pharmacy benefit coverage when required
Requirements:
Required Certifications: CA Pharmacy Tech License Required
Look for a strong pharmacy technician with active license in CA. Prior auth exp is required
Why Should You Apply?
Health Benefits
Referral Program
Excellent growth and advancement opportunities
Numbers & Facts
Location
CA
Skills
Access Authorizationunmatched
Certified Pharmacy Technician (CPhT)unmatched
Communication Skillsunmatched
Formularyunmatched
Health Insuranceunmatched
Health Planunmatched
Medical Officeunmatched
Medicationsunmatched
Outpatient Careunmatched
Pharmacyunmatched
Procedure Implementationunmatched
🎯
Be found by employers
5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.
Level up your application
Professional resume templates
Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.