Pharmacy Technician – Utilization Management

Role Overview

• Develop and deliver follow up messages to physicians and members related to prior authorization and high cost case management case documentation
• Manage queues for pharmacy technician related work for prior authorization, high cost cases, claims editing and clinical policy processes
• Perform prior authorization case management related to administrative denial and low-clinical acuity cases as identified by clinical policies and guidelines.

Requirements

• Licensed Pharmacy Technician
• 2 years managed care experience
• Microsoft Excel, Power Point and Word proficiency

Benefits

• Health insurance
• Retirement plans
• Paid time off
• Flexible work arrangements
• Professional development