Certified Pharmacy Technician

• 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

• 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

• Shift can be anywhere from 5am-7pm Monday-Friday (Have to be available to work one Saturday shift)

• Pay $ 14.00 - $ 15.00 per hour

• Excellent benefits offered