Overview

Our client, a large hospital in the Southern California area, is looking to hire a Pharmacy Technician in Costa Mesa, CA!

***This is a 4 month contract opportunity***

As a Pharmacy Technician, you will be responsible for processing all incoming pharmacy referrals, refills, emails and chat messages related to prescription refill requests. You will be working in a team based, high-volume group setting. You will also be responsible for processing prior authorization requests on both Medical and Pharmacy Benefits

***All Candidates must be authorized to work in the US now and in the future***

Essential Functions:

– Manage incoming requests from call center, provider and referral team for new medications and medication refills.

– Responsible for processing medication prior authorizations and script renewals for patient.

– Ensure scripts are filled in a timely manner by coordinating with the requesting provider, following up with the Pharmacy Benefit Manager (PBM) as appropriate, and reaching out to the necessary department as needed.

– Ensures the patient completed the necessary labs and diagnostic testing as required prior to dispensing certain medication.

– Responsible for understanding the clinical protocols for medication refills as established by the organization

– Ensure that the patient has attended any required provider visits and follows all authorized medication protocols.

– Understands the insurance and healthcare benefits, submits prior authorizations to the UM department or to the PBM, and ensures that the required supporting documentation is submitted for review.

– Adheres to the implemented refill center workflow.

– Adapts easily to a high volume, fast pace medical group setting.

– Manage escalated patient care issues in collaboration with the member services, providers and Case Management teams as appropriate.

– Reports immediately to the Pharmacy Technician Lead on adverse concerns or workflow issues related to quality of care or patient care oversights.

– Assist the quality team in any HEDIS or Quality Star measure initiatives and protocols as appropriate for medication adherence and refill measures.

– Other duties as assigned.

Requirements

-Current National Pharmacy Technician Certification (PTCB or CPhT)

-3 year’ experience as a Pharmacy Technician

-Minimum 1 year experience working with Prior Authorization

The Offer

  • Competitive Pay, up to $24/hr DOE
  • Contract Duration: 4 months

You will be Eligible to Receive the Following Benefits:

  • Medical and Dental
  • Health Savings Account
  • 401(k)
  • Paid Sick Leave
  • Pre-Tax Commuter Benefits

Tracking 4052

To Apply: https://www.jobg8.com/Traffic.aspx?PX1Bk6OrfYQ3vjV8PEKKqQp