Your Role
The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for all outpatient pharmacy benefit inquiries.
The Pharmacy Technician, Intermediate, will report to the Operations Supervisor. In this role you will resolve outpatient pharmacy benefit coverage inquiries, including prescription claim processing problems, and communication of drug formulary guidelines and alternatives.
Your Work
In this role, you will :
- 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
Pharmacy Technician, Intermediate - UMRx (Short Term Employment)
The UMRx Prior Authorization Technician team is primarily responsible for ensuring accurate and timely review of IV and injectable medications under the medical benefit, using Blue Shield of California Pharmacy and Therapeutics (P&T) Committee medication polices. The Pharmacy Technician, Advanced, w...
Pharmacy Technician, Intermediate
The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for all outpatient pharmacy benefit inquiries. The Pharmacy Technician, Intermediate, will report to th...
Pharmacy Technician, Intermediate - Rx Call Center (Short-Term Employment)
The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for all outpatient pharmacy benefit inquiries. The Pharmacy Technician, Intermediate will report to the...
Pharmacy Technician, Intermediate - Rx Call Center
The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for all outpatient pharmacy benefit inquiries. The Pharmacy Technician, Intermediate will report to the...
In Home Caregiver
Honor was created to make life better for our parents, the people who love them, and the caregivers who look after them. We call our caregivers Care Professionals (Care Pros) because they are true experts at helping older adults live better lives. What you’ll get as a caregiver\n. What you&rsq...
Be a CAREGIVER at CAREWORKS today NO EXPERIENCE NEEDED
Are you a compassionate caregiver looking for more than just a job? Join our team at CareWorks Health Services, where we go the extra mile to invest in our caregivers' success. We are proud to introduce a groundbreaking program offering free career coaching, complimentary training courses, and entic...
Caregiver Needed in Long Beach, CA
Join our Family! Work with an Awarded Employer of Choice company!.We Provide Health/retirement Benefits to eligible staff!.Seeking caring individuals who would like to make a difference by assisting people in need, including elderly, Veterans, Disabled, and Developmentally Disabled of all ages....
Flexible Caregiver – Choose your Morning Shift
BrightStar Care of Huntington Beach is hiring per diem Caregivers to start Immediately!. ...
Remote Healthcare Customer Service Representative
A company is looking for a Customer Service Healthcare - Audits 100% Remote in North Carolina. ...
Instructor Caregiver for Day Program-Rosemead
Instructor Caregiver for Day Program-Rosemead. Day Program Instructor Caregiver. ...