Job Description
We’re seeking a Call Center Pharmacy Technician who will be responsible for reviewing incoming referrals from providers to ensure member coverage and accuracy.
This role is fully remote and a 1 year contract!
Details:
- $19 hourly
- Call Center environment
- Remote
- 1 year contract with a possibility of hire
Purpose of role:
In this role you will provide support for staff pharmacists using operational expertise to prepare medication cases for clinical review outside of technician EOA. Ensure compliance with various regulatory and quality accreditation requirements around drug utilization management.
In this role, you will:
- Utilize medication policy and operational principles to make authorization determination on drug case reviews within technician extension of authority.
- Research and collect pertinent patient and drug information to assist the pharmacists in case specific reviews and drug evaluations.
- Ensure coverage determinations are completed within regulatory turnaround times for all lines of business.
- Work in team environment to manage technician queues.
- Ability to maintain individual work queue.
- Communicates with the physicians, physician's office staff, and pharmacies to assist with case resolution.
- Ability to communicate well with other team members and help to create team synergies.
- Participates in, evaluates, and maintains efficient workflow procedures.
- Additional activities as assigned and discussed with manager, including participation in all workstreams within UMRx, including but not limited to, intake, system testing, Peer to Peer.
QUALIFICATIONS
Your Knowledge and Experience
- Requires a Certified Pharmacy Technician license.
- Requires at least 2 years of pharmacy related experience and training; or equivalent combination of education and experience.
- Requires basic job knowledge of systems and procedures obtained through prior work experience or education.
Interested? Apply today and get in contact with a recruiter.
Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one’s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one’s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status. All applicants must also provide proof of COVID Vaccination when requested, except where prohibited by law.