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Clinical Pharmacy Technician

Company: Magellan Health
Location: Salt Lake City
Posted on: April 17, 2018

Job Description:

Clinical Pharmacy Technician Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. ESSENTIAL FUNCTIONS: Determines appropriateness for medications. Communicates decision to physicians, physician?s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician?s office staff, medical management staff and/or pharmacists. Escalates requests to Pharmacist when request requires extensive clinical review or denial. Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management. Performs other duties as required. General Job Information Title Clinical Pharmacy Technician Grade 16 Job Family Call_Contact Center_Ph Country United States of America FLSA Status United States of America (Non-Exempt) Recruiting Start Date 2/20/2018 Date Requisition Created 2/20/2018 Minimum Qualifications Education GED (Required), High School (Required) License and Certifications - Required CPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy License and Certifications - Preferred Other Job Requirements Responsibilities CPT: Certification/licensure in accordance with state requirements. In the states of Florida and Michigan, license registration with the Board of Pharmacy is required without exception. PTCB: Certification or the ability to obtain PTCB Certification within one year of hire. Employees in states which require a Pharmacy Technician certification/registration exam may substitute state certification/registration for the PTCB. Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting. In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.). Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite. Excellent written and verbal communication skills. Ability to follow clinical criteria and instructions to approve prior authorization requests. Minimum of 6 months dispensing or retail experience required, or equivalent internal training will be substituted. Ability to identify and trouble-shoot problematic issues. Competencies Language(s) Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled prior of Other Required decision certificationregistration exam in a BACH_a33d1a of

Keywords: Magellan Health, Salt Lake City, Clinical Pharmacy Technician, Healthcare, Salt Lake City, Utah

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