We are currently hiring a Part-time Pharmacy Technician, flexible work options available! If you are a certified pharmacy technician, possess a strong attention to detail, enjoy working in a fast-paced environment, and value being part of a team that makes a difference, you may be the right person for the position! Apply today!
JOB SPECIFICATIONS
Classification: NON-EXEMPT | Status: PART-TIME, Monday - Friday, generally 8am to 11am, Pacific Time
Salary: $20.16 - $24.86/HOUR
Department: PHARMACY | Work Location: REMOTE, LOCAL TO OREGON
Reports to: DIRECTOR OF PHARMACY SERVICES
Supervision Exercised: NON-SUPERVISORY
JOB PURPOSE: Pharmacy Authorization
Responsible for the assessment and evaluation of requests for pharmaceutical products. Promotes quality, cost-effective care outcomes while ensuring the appropriate implementation of quality assurance, policies and procedures, Oregon Health Plan and other regulatory requirements.
QUALIFICATIONS, EDUCATION, and EXPERIENCE
- High School Diploma or equivalent required
- Current Certified Oregon Pharmacy Technician License preferred, will consider applicant that has three to five year’s of related healthcare experience such as a medical assistant
- Managed care or insurance setting experience a plus
ESSENTIAL RESPONSIBILITIES: Pharmacy Authorization
- Coordinates, assists, and supports implementation of procedures and guidelines for the drug prior- authorization program.
- Serves as a point of contact for providers and members in the Medical Management process by telephone or other correspondence.
- Communicates prior-authorization criteria and discusses pharmacy benefit coverage inclusions/exclusions when required.
- Provides drug usage history and other pertinent pharmacy benefit related computer reports for pharmacists and physician reviewers to assist in case specific reviews and drug evaluations.
- Assists Pharmacy Director with drug utilization review programs or other assigned projects.
- Researches and resolves physician inquiries and grievances.
- Provides information to internal staff to resolve member inquiries and grievances, assists with formulary requests, medication questions, and claims history inquiries.
- Participates in, evaluates, and maintains efficient workflow procedures in accordance with the Pharmacy Department’s goals and objectives.
- Assists in ensuring members are effectively and efficiently managed through the Medical Management process as needs require.
- Work with local pharmacies to coordinate care for members.
- Within extension of authority, approves pharmaceutical services.
- Creates worksheets and assists team members in the preparation of cases or in requesting additional information for care coordination, pre-service requests, and medical authorizations.
- Participate in quality and organizational process improvement activities and teams when requested.
- Assist audit preparation when focus is pharmacy related.
- Participate in quality and organizational process improvement activities and teams when requested.
- Ensure compliance with company policies and procedures as applicable to area(s) of responsibility.
- Handle confidential information and materials appropriately and maintain a secure work area.
- Other duties as assigned.
For a full job description and to formally apply, please visit www.advancedhealth.com/careers
Pay: $20.16 - $24.86 per hour
Benefits:
- 401(k)
- 401(k) matching
- Employee assistance program
- Flexible schedule
- Health savings account
- Paid sick time
- Paid time off
- Work from home
Physical Setting:
Location:
Work Location: Remote
