Pharmacy Tech I

Pharmacy Technician I

As a Pharmacy Technician I, you will be responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.

How you will make an impact:

• Verifies member information and inputs data for the pharmacists.

• Educates members on pharmacy-based rules related to prescriptions and medication resources or assistance programs.

• Processes prior authorization requests from physicians' offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations.

• Provides resolution to grievances and appeals issues.

• Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.

• Generates reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.

• Maintains record keeping of prior authorizations, rebates, and monthly reports.

This position is a hybrid position. You will be required to complete onsite training prior to working from home.

Hours: Monday - Friday (off Saturday and Sunday)

Must be available to work a 8 hour shift within the listed hours in your specified time zones:

9:00am-5:30pm Pacific Time

10:00am-6:30pm Mountain Time

11:00am-7:30pm Central Time

12:00pm-8:30pm Eastern Time

Minimum Requirements:

• Requires H.S. diploma or equivalent.

• Minimum of 1 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.

• Current State Pharmacy Tech. Certification or National Certification based on applicable state(s) required.

Preferred skills, contributions, and experience:

• For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.