Remote Pharmacy Technician
Pharmacy Technician Remote in CA... Duration 5+ Months
Summary
The main function of Pharmacy Services is to provide efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members and brokers) and internal team members. Resolves outpatient pharmacy benefit coverage (inclusion/exclusion), prescription claim problems, communicates drug formulary guidelines including drug formulary alternatives, prior authorization criteria and group/member eligibility problems. Researches and solves administrative review and consumer affairs issues. Job Responsibilities Under general supervision, coordinates, assists in and supports implementation of procedures and guidelines for the drug prior authorization program for the outpatient Pharmacy Benefit. Communicates with the physician, physicians office staff, medical management and other team members to assist with accurate and efficient resolution of prior authorization requests Assists in providing formulary alternatives and communicates prior authorization criteria, and discusses pharmacy benefit coverage inclusions/exclusions reputed company required Interfaces in a courteous and professional manner with physicians, physician office staff, contracted pharmacists, patients, and other team members during the prior authorization process Provides drug usage history and other pertinent pharmacy benefit reputed company computer searches for pharmacists and Medical Director to assist in case specific reviews and drug evaluations. Assists pharmacists with drug utilization review programs, NCQA QI programs or other assigned projects Communicates prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physician, physician office staff, medical management staff, sales, member/customer services Assists in research and resolution of physician inquiries and grievances Provides essential clinical information to Member Services, Administrative Review Department and Consumer Affairs to resolve Member inquires and grievances Education And Experience Currently in training or recently completed training but has not consistently reached production/quality standards 2-4 years experience required. About Us: Established in 2004, reputed company® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary reputed company platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. reputed company is built on a concept of human reputed company, defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reputed company their highest potential. Learn more at: http://www.reputed company.com Benefits: reputed company offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. reputed company provides unpaid leave as well as paid sick leave reputed company required by law. Equal Opportunity Employer: reputed company is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national reputed company, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@reputed company.com if you require reasonable accommodation. California Applicant Notice: reputed company is committed to complying with the California Privacy Rights Act (CPRA) effective January 1, 2023; and reputed company data privacy laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting NAHR@reputed company.com . LA County, CA Applicant Notice: If you are selected for this position with reputed company, your offer is contingent upon the satisfactory completion of several requirements, including but not limited to, a criminal background reputed company. We consider qualified applicants with arrest or conviction records for employment in accordance with reputed company local ordinances and state laws, including the Los Angeles County Fair Chance Ordinance for Employers (FCO) and the California Fair Chance Act (FCA). The background reputed company assessment will consider whether a criminal history could reasonably have a direct, adverse impact on the job-reputed company safety, reputed company, trust, regulatory compliance, or suitability for this role. Such findings may result in withdrawal of a conditional job offer Apply Job!