Pharmacy Technician

FORM Health is a telemedicine weight loss clinic specialized in helping patients with obesity lose weight and lead healthier lives. Obesity impacts more than 40% of the US adult population, but only about 1% of patients receive medical treatment for their disease. The field of Obesity Medicine is entering a period of rapid growth that will see treatment rates surge. Today, FORM Health can harness this growth to drive patient impact nationwide. We do this by making research-based treatment available to patients through the convenience of Telehealth, including long-term care from a specialized physician and dietitian and FDA-approved medication when appropriate. We hold ourselves to the highest standards of clinical care, and to treating every individual with empathy and respect.

Founded in 2019, FORM is a venture-backed startup with an experienced clinical team. FORM Health's mission is to empower patients and be the leader in obesity medicine using personalized, research-based treatment delivered through modern technology.

About the role:

Form Pharmacy Technician will manage and maintain all prescription prior authorization requests and appeals for our growing practice. Working closely with our physicians and patients, you will ensure patients receive the medication through effective communication with insurance carriers and pharmacies. We're looking for an experienced, detail-oriented individual to join our team. Outstanding communication and customer service skills are essential. This a 100% remote position.

Where you'll deliver impact:

We seek a candidate with experience with medication prior authorization, who is a team player with exceptional interpersonal, critical thinking, and organizational skills, who is passionate about being part of a health-care team and excited to work in a non-traditional telemedicine practice environment.

Key responsibilities include:

• Follow prior authorization workflow and policies and procedures.
• Review accuracy and completeness of information requested and ensure that all supporting documents are present.
• Proactively work on prior authorizations that are due to be expired.
• Use independent judgment to examine, research and assemble necessary patient information via the patients' medical record and Form app to submit authorization requests. Decide based on previous authorization approval and denial experience, the relevant information to be included in the request.
• Demonstrate knowledge of pharmacy benefits and medical benefits.
• Knowledge in commercial payers prior authorization requirements.
• Ability to effectively work in a remote environment and connect via multiple communication channels (phone, email, text, etc.).
• Ability to review and resolve denials pertaining to Prior Authorizations, including appeal handling.
• Continuous process improvement, ability to suggest workflows that improve efficiency and experience.
• Process referrals and submit clinical support documentation to insurance carriers to expedite prior authorization process.
• Filing documentation into a patient's chart that may include medical records, prior authorization keys, referrals, prior authorization determinations.
• Other duties as assigned.

You'll be successful in this role because you have:

• Minimum of three years Pharmacy Technician experience with prior authorizations, preferably within a multistate telehealth practice.
• CoverMyMeds experience, knowledge and understanding of medical and pharmacy terminology.
• Priority will be given to candidates with specific experience with prior auths for anti-obesity medications, such as GLP-1 such as Saxenda, Ozempic, Wegovy, and Mounjaro.
• Basic mathematics skills including adding, subtracting, multiplying, and dividing in all units of measure.
• Ability to work independently and meet deadlines
• Strong organizational skills. Ability to multitask.
• Excellent English language skills. Excellent verbal and written communication skills.
• Advanced computer skills. Will be working with our custom-built and evolving IT systems.
• Minimum of a college degree, candidate's with a Pharmacy Technician registration/certification are preferred.

More about FORM's benefits:

• Competitive salary and equity in a high growth start-up
• Comprehensive health benefits (medical, dental, vision)
• 401k
• Flexible work schedules and paid time off
• Paid parental leave

FORM Health's commitment to building a diverse, equitable, and inclusive work environment:

FORM Health is committed to creating a culture and environment that celebrates diversity and inclusion, while fostering safety and belonging. This extends from our remote patient care to our corporate offices and everywhere in between. We are looking for team members who want to help us further our Diversity, Equity, and Inclusion (DEI) efforts and who share our attitudes for creating an inclusive, safe, and positive work environment.