19 days old

Pharmacy Technician ($1,000 Sign-On Bonus!!)

Magellan Health Services, Inc.
Salt Lake City, UT 84111
  • Job Code
    R00000046671
  • Jobs Rated
    73rd
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
  • 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.
  • Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management.
  • Performs other duties as required.

Other Job Requirements

Responsibilities
Must 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.

General Job Information

Title
Pharmacy Technician ($1,000 Sign-On Bonus!!)

Grade
17

Work Experience - Required
Pharmacy

Work Experience - Preferred

Education - Required
GED, High School

Education - Preferred

License and Certifications - Required
CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy

License and Certifications - Preferred

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their
position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.





Jobs Rated Reports for Pharmacy Technician

Posted: 2021-11-12 Expires: 2021-12-11
Sponsored by:
ADP Logo
Sponsored by:
Bank of America Logo

Featured Jobs[ View All ]

Featured Employers

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Pharmacy Technician ($1,000 Sign-On Bonus!!)

Magellan Health Services, Inc.
Salt Lake City, UT 84111

Join us to start saving your Favorite Jobs!

Sign In Create Account
Pharmacy Technician
73rd2019 - Pharmacy Technician
Overall Rating: 73/199
Median Salary: $31,750

Work Environment
Good
52/220
Stress
Very Low
9/220
Growth
Very Good
14/220
Powered ByCareerCast