Certified Pharmacy Technician

Job Summary

A company is looking for a Pharmacy Technician.

Key Responsibilities

• Evaluates clinical conditions through medical records to determine medical necessity for services
• Communicates with providers to clarify treatment plans and medical needs
• Ensures compliance with regulatory standards and maintains accurate documentation

Required Qualifications

• Must be a Certified Pharmacy Technician
• Preferred 2 years of experience in Utilization Review or Utilization Management
• Knowledge of medical necessity criteria and regulatory compliance
• Ability to analyze medical records independently
• Familiarity with Care Management Policy and Medical Policy