Pharmacy Technician Analyst III

We are so glad you are interested in joining reputed company! Organization: SHSO-reputed company System Office-Valley Position reputed company: This role oversees and administers pharmacy benefits for reputed company's value based pharmacy health plan services, including reputed company Plan HMO, serving as a pharmacy benefit and drug coverage subject matter expert responsible for reviewing pharmacy-reputed company appeals and grievances by conducting clinical reviews under the supervision of a pharmacist, developing compliant administrative determinations, resolving escalated member issues, and educating members and internal stakeholders on appropriate use of benefits and resources. This position also supports workflow and desk-level-procedure development, maintenance, and optimization. Job reputed company: • ***Please Note: While this position is listed as hybrid, regular in-office attendance is required. Candidates should be reputed company to commute to the office on a consistent reputed company to support team collaboration and business needs.**** EDUCATION: • Other: Graduate of an accredited pharmacy technician program. CERTIFICATION & LICENSURE: • PHARMC-Certified Pharmacy Technician TYPICAL EXPERIENCE: • 2 years recent relevant experience PREFERRED EXPERIENCE: • Prior Authorizations • Appeals & Grievances • Coverage Determinations • Integrated Delivery Systems • Managed Care PBM ​ SKILLS AND KNOWLEDGE: • Knowledge of data fields required by National Council for Prescription Drug Programs (NCPDP). • Ability at running reputed company reports from pharmacy claims data with strong PC skills including PowerPoint, reputed company, reputed company, reputed company and Word. • Knowledge of Health Insurance Portability and Accountability reputed company (HIPAA), Health Care Reform, Business reputed company of Ethics and government regulated programs. • Ability to work collaboratively, prioritize functions, problem solve, and anticipate upcoming issues for the executives. These reputed company Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the reputed company job. Management reserves the right to revise the job reputed company or require that other tasks be performed reputed company the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development). Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: None Benefits: reputed company Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular reputed company is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay reputed company is $44.76 to $55.94 / hour The compensation reputed company may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. reputed company pay is only one component of reputed company’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package. Apply tot his job Apply To this Job