Certified Pharmacy Technician

Are you an experienced Pharm Tech looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!  Apply Now

Daily Responsibilities: 

• Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients

• Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required

• Obtain verbal authorizations and request detailed clinical information from prescribers

• Approve coverage determination requests based on defined criteria

• Enter and document coverage determination request decision into the PBM system and notify providers and/or members

• Respond to client inquiries regarding authorization approvals and PBM on-line applications

• Refer coverage determination requests for specialty drugs to delegated vendor or client for processing

• Contact providers for additional information to facilitate coverage determination reviews

• Notify physicians, providers and members of coverage determination request decisions