Healthcare Support Staffing

Certified Pharmacy Technician

Full-time · Tempe, AZ
✓ Verified live on the employer's own system · added 3910 days ago
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Junior · 2+ yrs exp

Requirements

Experience: 2+ years

License: Pharm Tech, Pharmacist

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Full job description

Job Description
  • 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
Qualifications
  • Certified Pharm tech (CPhT)
  • Nationally Certified Pharm Tech ( PTCB)
  • 2+ year retail, hospital, or mail order experience
  • PBM or prior authorization experience preferred BUT not required
Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States.

HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

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This posting was published by Healthcare Support Staffing on their own careers system and is shown here with a direct link to apply there. Employers: for corrections or removal, contact jobs@veritahire.com.