Primetherapeutics

Pharmacy Technician - Onsite (Based in or Near Salt Lake, UT)

Salt Lake CityFull timePosted 22 days ago
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At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.Job Posting TitlePharmacy Technician - Onsite (Based in or Near Salt Lake, UT)Job DescriptionEvaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.ResponsibilitiesDetermines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.Technician is responsible for supporting both front-end and back-end operations, including order fulfillment, packaging, shipping, and ensuring accurate and timely processing of products.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.Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management.Performs other duties as required.For CPTs assigned to work the fax queue, responsibilities will also include:Clinically reviews coverage determinations with attention to detail, for medications via Fax. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists within SLA (service level agreement) guidelines.Efficiently multi-tasks and monitors several queues and assignments. Adapts to team requirements as business needs change (e.g., fax work, pending queues, oral notifications, and failed faxes).Minimum QualificationsHigh school diploma from an accredited school or equivalent GEDRequired CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - PharmacyMay have no prior experienceThis position in NOT a remote position and will require employee to be ONSITE.Must be eligible to work in the United States without the need for work visa or residency sponsorshipAdditional QualificationsMust have an active pharmacy technician licensure or registration in accordance with state requirements.If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).Active Pharmacist license supersedes requirement for CPT and/or PTCB.Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.In-depth kno...