Shire Jobs

Mobile Shire Logo

Job Information

Prime Therapeutics Clinical Pharmacy Technician Remote in California in Lincoln, Nebraska

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Clinical Pharmacy Technician Remote in California

Job Description Summary

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

Job Description

  • 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.

Responsibilities

  • LPT: Licensure in accordance with California state requirements.

  • Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.

  • In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).

  • Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.

  • Excellent written and verbal communication skills.

  • Ability to follow clinical criteria and instructions to approve prior authorization requests.

  • Minimum of 6 months dispensing or retail experience required, or equivalent internal training will be substituted.

  • Ability to identify and trouble-shoot problematic issues.

Work Experience

Work Experience - Required:

Pharmacy

Work Experience - Preferred:

Education

Education - Required:

GED, High School

Education - Preferred:

Certifications

Certifications - Required:

LPT - Licensed Pharmacy Technician - Pharmacy - Pharmacy

Certifications - Preferred:

Potential pay for this position ranges from $15.29 - $22.93 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. ‚Äč If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

DirectEmployers