Certified Pharmacy Technician 1

Houston, TX | 12 Months

Post Date: 10/16/2017 Job ID: 7667641 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.

 

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