Certified Pharmacy Technician 1

Tampa, FL | 12 Months

Post Date: 06/21/2017 Job ID: 6950069 Industry: Healthcare

Description/Comment:

• 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. 
• Communicates selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians, physician’s office staff, medical management staff, and/or pharmacists. 
• Researches, resolves, and documents prior authorization outcomes in the pharmacy system. 
• Escalates requests to Pharmacist when request requires extensive clinical review or denial. 
• Researches, resolves, and documents physician or client inquiries and grievances. Provides verbal or written results to client, prescriber, provider, and/or management. 
• Performs other duties as required. 
• Position is not in a pharmacy

 

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