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Integrated Resources INC

Pharmacy Technician

Posted Updated
Discussion

· Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.

· ESSENTIAL FUNCTIONS:-

· 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.

· Monitors telephone system to ensure adequate staffing to maintain client services levels.

· Assesses training needs within the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.

· Demonstrates, advocates and reinforces a positive team environment.

Requirements/Certifications:

- Required: Registration with FL State Board of Pharmacy

- Ideal: PTCB (must obtain within a year to convert to FTE)

- Call centre experience a plus

- Minimum two years dispensing or retail experience required, or equivalent internal training will be substituted

· Education:

· High School Graduate/GED

All your information will be kept confidential according to EEO guidelines.

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