Pharmacy Technician - Managed Care

We are currently hiring a **Part-time Pharmacy Technician, flexible work options available!** If you are a c**ertified pharmacy technician, possess a strong attention to detail, enjoy working in a fast-paced environment, and value being part of a team** that makes a difference, you may be the right person for the position! **Apply today!** **JOB SPECIFICATIONS** **Classification:** NON-EXEMPT | **Status:** PART-TIME, Monday - Friday, generally 8am to 11am, Pacific Time **Salary:** $20.16 - $24.86/HOUR **Department:** PHARMACY | **Work Location:** REMOTE, LOCAL TO OREGON **Reports to:** DIRECTOR OF PHARMACY SERVICES **Supervision Exercised:** NON-SUPERVISORY **JOB PURPOSE:** Pharmacy Authorization Responsible for the assessment and evaluation of requests for pharmaceutical products. Promotes quality, cost-effective care outcomes while ensuring the appropriate implementation of quality assurance, policies and procedures, Oregon Health Plan and other regulatory requirements. **QUALIFICATIONS, EDUCATION, and EXPERIENCE** - High School Diploma or equivalent required - Current Certified Oregon Pharmacy Technician License preferred, will consider applicant that has three to five year’s of related healthcare experience such as a medical assistant - Managed care or insurance setting experience a plus **ESSENTIAL RESPONSIBILITIES:** Pharmacy Authorization 1. Coordinates, assists, and supports implementation of procedures and guidelines for the drug prior- authorization program. 2. Serves as a point of contact for providers and members in the Medical Management process by telephone or other correspondence. 3. Communicates prior-authorization criteria and discusses pharmacy benefit coverage inclusions/exclusions when required. 4. Provides drug usage history and other pertinent pharmacy benefit related computer reports for pharmacists and physician reviewers to assist in case specific reviews and drug evaluations. 5. Assists Pharmacy Director with drug utilization review programs or other assigned projects. 6. Researches and resolves physician inquiries and grievances. 7. Provides information to internal staff to resolve member inquiries and grievances, assists with formulary requests, medication questions, and claims history inquiries. 8. Participates in, evaluates, and maintains efficient workflow procedures in accordance with the Pharmacy Department’s goals and objectives. 9. Assists in ensuring members are effectively and efficiently managed through the Medical Management process as needs require. 10. Work with local pharmacies to coordinate care for members. 11. Within extension of authority, approves pharmaceutical services. 12. Creates worksheets and assists team members in the preparation of cases or in requesting additional information for care coordination, pre-service requests, and medical authorizations. 13. Participate in quality and organizational process improvement activities and teams when requested. 14. Assist audit preparation when focus is pharmacy related. 15. Participate in quality and organizational process improvement activities and teams when requested. 16. Ensure compliance with company policies and procedures as applicable to area(s) of responsibility. 17. Handle confidential information and materials appropriately and maintain a secure work area. 18. Other duties as assigned. **ESSENTIAL RESPONSIBILITIES:** ORGANIZATIONAL TEAM MEMBER - Participate in quality and organizational process improvement activities and teams when requested - Support and contribute to effective safety, quality, and risk management efforts by adhering to established; policies and procedures, maintaining a safe environment, promoting accident prevention, and identifying and reporting potential liabilities - Openly, clearly, and respectfully share and receive information, opinions, concerns, and feedback in a supportive manner - Work collaboratively by mentoring new and existing co-workers, building bridges, and creating rapport with team…