CLINICAL PHARMACY TECHNICIAN II
Company: Prime Therapeutics
Location: Cheyenne
Posted on: October 27, 2024
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Job Description:
Our work matters. We help people get the medicine they need to
feel better and live well. We do not lose sight of that. It fuels
our passion and drives every decision we make.Job Posting
TitleClinical Pharmacy Technician IIJob Description
SummaryEvaluates and authorizes approval of prior authorization
pharmacy requests from prescribers received by telephone and/or
facsimile using client clinical criteria.Job DescriptionDetermines
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.Other duties as
assigned.ResponsibilitiesMust have an active pharmacy technician
licensure or registration in accordance with state requirements.If
state does not require an exam for licensure/registration, must
possess both active pharmacy technician licensure or registration
in accordance with state requirements AND an active national
certification (e.g., PTCB or ExCPT).In states that do not require
licensure or registration, must have an active national
certification (e.g., PTCB or ExCPT).Active Pharmacist license
supersedes requirement for CPT and/or PTCB.Specialty or retail
pharmacy industry experience, previous reimbursement experience,
and/or working in a health plan/health care setting.In-depth
knowledge of specialty injectable prescription drugs, disease
states, health plan formulary management techniques, medical
terminology and current diagnostic and reimbursement coding (J/Q
codes, ICD-9, CMS 1500, etc.).Proficiency in Pharmacy computerized
systems and software applications, as well as MS Office Product
Suite.Excellent written and verbal communication skills.Ability to
follow clinical criteria and instructions to approve prior
authorization requests.Minimum of 6 months dispensing or retail
experience required, or equivalent internal training will be
substituted.Ability to identify and trouble-shoot problematic
issues.Work ExperienceWork Experience - Required:PharmacyWork
Experience - Preferred:EducationEducation - Required:GED, High
SchoolEducation - Preferred:CertificationsCertifications -
Required:CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State
Requirements - Pharmacy - PharmacyCertifications -
Preferred:Potential pay for this position ranges from $17.16 -
$25.73 based on experience and skills. Pay range may vary by 8%
depending on applicant location.To review our Benefits, Incentives
and Additional Compensation, visit our Benefits Page
(https://www.primetherapeutics.com/careers/benefits/) and click on
the Benefits at a glance button for more detail.Prime Therapeutics
LLC is proud to be an equal opportunity and affirmative action
employer. We encourage diverse candidates to apply, and all
qualified applicants will receive consideration for employment
without regard to race, creed, color, religion, gender, sexual
orientation, gender identity/expression, national origin,
disability, age, genetic information, veteran status, marital
status, pregnancy or related condition (including breastfeeding),
expecting or parents-to-be, or any other basis protected by law.We
welcome people of different backgrounds, experiences, abilities,
and perspectives including qualified applicants with arrest and
conviction records and any qualified applicants requiring
reasonable accommodations in accordance with the law.Prime
Therapeutics LLC is a Tobacco-Free Workplace employer.Positions
will be posted for a minimum of five consecutive workdays.Prime
Therapeutics' fast-paced and dynamic work environment is ideal for
proactively addressing the constant changes in today's health care
industry. Our employees are involved, empowered, and rewarded for
their achievements. We value new ideas and work collaboratively to
provide the highest quality of care and service to our members.If
you are looking to advance your career within a growing,
team-oriented, award-winning company, apply to Prime Therapeutics
today and start making a difference in people's lives.Prime
Therapeutics LLC is proud to be an equal opportunity and
affirmative action employer. We encourage diverse candidates to
apply, and all qualified applicants will receive consideration for
employment without regard to race, creed, color, religion, gender,
sexual orientation, gender identity/expression, national origin,
disability, age, genetic information, veteran status, marital
status, pregnancy or related condition (including breastfeeding),
expecting or parents-to-be, or any other basis protected by law.We
welcome people of different backgrounds, experiences, abilities,
and perspectives including qualified applicants with arrest and
conviction records and any qualified applicants requiring
reasonable accommodations in accordance with the law.Prime
Therapeutics LLC is a Tobacco-Free Workplace employer.If you are an
applicant with a disability and need a reasonable accommodation for
any part of the employment process, please contact Human Resources
at 1.866.469.1257 or email Careers@primetherapeutics.com.
Keywords: Prime Therapeutics, Aurora , CLINICAL PHARMACY TECHNICIAN II, Healthcare , Cheyenne, Colorado
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