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Clinical Pharmacy Technician I (554710)
Ref No.: 17-06179
Location: Glen Allen, Virginia
Start Date / End Date: 11/27/2017 to 05/20/2018
Description:
!!!THIS IS STRICTLY A TEMP POSITION FOR 6 MONTHS FOR NOW!!!
**FIRM START DATE OF 11/27 FOR THE CLASS – IF YOUR CANDIDATE IS UNABLE TO START 11/27, PLEASE DO NOT SUBMIT**
*THIS IS A CALL CENTER & CANDIDATE NEEDS TO BE AWARE THAT THEY WILL BE TAKING INBOUND CALLS IN A HIGH VOLUME CALL CENTER*
JOB SUMMARY:
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.
· 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.
· Ability to identify and trouble-shoot problematic issues.