License/Certification: Nationally certified Pharmacy Technician in good standing (i.e., PTCB, NHA) or registered or a licensed Pharmacy Technician in good standing.
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Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $47,403 - $64,338
All Other Locations (within approved locations): $41,101 - $60,320
As a candidate for this position, your salary and re
Benefits
Health insurance
Additional Information
The UM Pharmacy Technician is responsible for the intake and review of prior authorization requests for medications requested under the medical benefit. The UM Pharmacy Technician makes approval decisions and denial recommendations based on predetermined clinical criteria. They establish rapport with Provider offices and leverages strong communication and customer service skills when providing updates and delivering decision notifications to members and providers, The UM Pharmacy Technician position is part of multidisciplinary team and works closely with Providers, Pharmacists, and Medical Directors.
Duties & Responsibilities:
Reviews prior authorization requests and units for medications requested under the medical benefit
Assesses provider-submitted clinical information for clinical appropriateness based on predetermined clinical criteria
Sends notification to members and providers of authorization decisions via telephone, fax, or mail
Ensures prior authorization reviews are conducted within timeframes set forth by CMS and/or NYSDOH
Establishes great rapport with Provider offices via telephonic communication
Sends request for information sheets to Providers
Ensures that patient information is shared appropriately maintaining confidentiality and compliance with federal law and HIPAA regulations
Additional duties as necessary
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