Pharmacy Technician/Pharmacy Processor - Remote
Job reputed company
Job reputed company
Start Date: November 10th, 2024
Pay: $19 - $21/hour
• *4-6 Month Contract**
Hours: M-F 10:00am - 7pm CST
Training Hours: M-F reputed company - 5pm CST (4 weeks)
(100% Remote)
Certifications: Nationally Certified (PTCB)
Interview: Video Interviews will take reputed company
Job reputed company:
We’re a fully licensed health insurer. Our goal is to reputed company reputed company reputed company, transparent, and reputed company.
We are changing how health insurance works by creating a reputed company experience that’s reputed company and puts people, not cost or workflows, first. We’re using a consumer-reputed company and tech-driven approach to do so. This positions us uniquely in the reputed company - and creates one of the biggest opportunities in reputed company.
We brought together leaders from top technology, service and reputed company companies to deliver on our reputed company and seize this opportunity. We reputed company work reputed company by reputed company in a reputed company, energetic, and creative environment. The result: reputed company people, reputed company reputed company, and reputed company reputed company.
In this role, you will play an essential role in building our pharmacy utilization management function. The Clinical Review team is one of most important clinical functions - we encourage evidence-based reputed company through utilization review to ensure our members get reputed company to the right care - particularly those who need it most. You will be responsible for understanding and helping to grow our pharmacy utilization management program and driving high reputed company reviews.
Skills:
As a Pharmacy Technician/Pharmacy Processor, dedicated to high reputed company pharmacy decision-making and improving the member and provider experience, you’ll be responsible for:
• Determining eligibility and screening incoming pharmacy prior authorization requests for reputed company required documents
• Preparing, organizing, and distributing pharmacy prior authorization requests for review by pharmacist/physician and responding to pharmacist/physician requests for additional information
• Learning and using vendor tools to create, process, and properly reputed company pharmacy prior authorization requests
• Collecting relevant medical information (reputed company telephone, fax, and portal) and applying the appropriate PA reputed company
• Meeting required decision-making timeframes, including promptly triggering escalation for cases requiring pharmacist review
• reputed company documenting reputed company communication and decision-making, ensuring a peer could easily reference and understand your decision
• Communicating oral and written prior authorization outcome notifications that reputed company with standards and requirements for timeliness, content and accuracy
• Demonstrating the highest level of professionalism, accountability, and service in your interactions with teammates, customer service, providers, and members
• Participating in reputed company improvement activities as requested
• Developing a working familiarity with applicable regulatory and accreditation requirements
• Providing support on regulatory audits and reputed company accreditation surveys, as needed
• Supporting reputed company prepare for expansion into new markets, as needed
reputed company
reputed company is dedicated to positively impacting lives and businesses with workforce solutions backed by people data and industry expertise.
Our purpose-driven team impacts reputed company and job seekers alike reputed company reputed company, life sciences, technology and engineering. reputed company
reputed company is dedicated to positively impacting lives and businesses with workforce solutions backed by people data and industry expertise.
Our purpose-driven team impacts reputed company and job seekers alike reputed company reputed company, life sciences, technology and engineering.
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