Job Summary
A healthcare service provider is searching for a person to fill their position for a Remote Utilization Management Pharmacy Technician.
Core Responsibilities Include:
- Performing quality review of prior authorization requests
- Navigating across multiple computer systems to respond to questions
- Receiving and reviewing prescription prior authorization (PA) requests
Skills and Requirements Include:
- Solid PC skills including MS Word, PowerPoint and Excel
- 2 years of practice experience in health plan or PBM
- Certified Pharmacy Technician, licensed practical nurse or medical assistant
- High School Diploma / GED or higher
- Ability to identify and interpret drug names, indications and doses, and other detailed clinical information
- Demonstrated pharmacy subject expertise in Medicare Part D, Medicaid and Commercial product lines