Pharmacy Benefit Technician Health Plan
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Job Location:
Sioux Falls, SD - USA
Monthly Salary:
$ 18 - 29
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. Were proud to offer many development and advancement opportunities to our nearly 50000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
8 Hours - Day Shifts (United States of America)Scheduled Weekly Hours:
40Salary Range: $18.00 - $29.00Union Position:
NoDepartment Details
Summary
Responsible for following policies and procedures set within the pharmacy department to ensure that Members obtain appropriate medications in a timely cost-effective and efficient manner. Requires use of and proficiency in multiple computer programs.Job Description
This job involves a significant amount of time on the telephone handling calls from Members pharmacies and providers concerning pharmacy issues such as coverage prior authorization step therapy networks and overrides and denial rationale. Review incoming prior authorization request and contact providers office pharmacies prior authorization department or Member (depending on where the request originates) to clarify the intent of the prior authorization and identify any potential missing information. Enter prior authorizations and formulary exception requests into referral form. Review Plan policy to determine which requests need to be sent on the clinical pharmacist team for review. Will complete initial and benefit denial letters. Serve as a liaison with the pharmacy benefit manager (PBM) in regards to pharmaceutical questions or issues that arise. Serve as a resource for other departments within the health and maintain all benchmark stats (prior authorizations medical claims reviews phone approval denial letters and CRM volume) while holding this position.Qualifications
Pharmacy technicians must have a minimum of a high school diploma or equivalent.Experience with inpatient and retail pharmacy utilization as well as a broad knowledge of pharmacy practice is preferred but not required. Familiarity with computers and ability to work with multiple programs at the same time is required. The ability to work with multiple software programs concurrently allows a Pharmacy Benefits Technician to deliver the most accurate information to the Member or provider in a timely fashion. Must have excellent oral and auditory skills for productive interoffice dialogue and Member or provider interactions.
Must be nationally certified (CPhT designation) either through the Pharmacy Technician Certification Board (PTCB) or the National Healthcare Association (NHA).South Dakota: Registration required within 30 days from the date of hire. Technicians registered with South Dakota Board of Pharmacy after July 1 2014 will be registered as a technician-in-training and will have two years to complete training education and national certification through the Pharmacy Technician Certification Board (PTCB). Failure to obtain National Certification within two years of registering as a technician-in-training will result in termination of position. Technicians registered with the South Dakota Board of Pharmacy after July 1 2011 will be required to obtain National Certification through the Pharmacy Technician Certification Board by July 1 2014. Failure to obtain National Certification will result in termination of position. Technicians registered with South Dakota Board of Pharmacy before July 1 2011 will be grandfathered in and not require national certification through Pharmacy Technician Certification Board.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application please call 1- or send an email to
Required Experience:
IC
Key Skills
- Load & Unload
- LTC Pharmacy
- Typing
- Inventory Control
- Customer Service
- Hospital Experience
- Pharmacy Software
- Communication skills
- Math
- Pharmacy Technician Experience
- Order Entry
- Compounding Medications
About Company
Marshfield Clinic is a health care system with over 50 locations in northern, central, and western Wisconsin. Marshfield Clinic Don't just live. Shine.
