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.
· Monitors telephone system to ensure adequate staffing to maintain client services levels.
· Assesses training needs within the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.
· Demonstrates, advocates and reinforces a positive team environment.
Requirements/Certifications:
- Required: Registration with FL State Board of Pharmacy
- Ideal: PTCB (must obtain within a year to convert to FTE)
- Call centre experience a plus
- Minimum two years dispensing or retail experience required, or equivalent internal training will be substituted
· Education:
· High School Graduate/GED
All your information will be kept confidential according to EEO guidelines.