Job description

Pharmacy Services Technician

Our client, a health care company on the leading edge of technology and changing how they interact with patients, is looking for a Pharmacy Services Technician to join their remote team! This position is a corporate-wide technical support resource for pharmacy benefit, reimbursement, and other drug use issues which do not require clinical judgment. This function assists the Clinical Pharmacy Consultants and Pharmacy Services staff with formulary-related operations and other operational processes which require knowledge and experience with pharmaceuticals.

Contract: 6-month duration!

Pay: $22.50/hr.

Location: Remote, must reside in: OR, WA, ID, or UT!

Must have your own reliable internet! Equipment does NOT support Satellite or mobile WIFI hotspots.

Responsibilities of a Pharmacy Services Technician:

• In any situation in which clinical judgment is necessary, the Pharmacy Services Technician will seek assistance from appropriate medical personnel. (Appropriate medical personnel will be available for support during normal business hours.)
• Responds to non-clinical pharmacy issues from providers, pharmacy services staff, case managers, preauthorization nurses, ENCC personnel, and government programs personnel and customer service.
• Handle pharmacy issues such as formulary drug coverage, appeal and reconsideration claim status, and pricing for drug claims.
• Completes daily formulary operational processes, including tracking, processing, and obtaining appropriate documentation for pharmacy medical exception requests, prior authorization requests, reconsiderations, and appeals.
• Prepares reconsideration requests for Clinical Pharmacy Consultant review by obtaining and organizing appropriate documentation, including, but not limited to medical chart notes/reports and medication profiles.
• Communicates (orally and by written documentation) information and determinations to providers and members as necessary.
• Obtains and organizes drug utilization data, including patient specific and population-based data, in a manner which facilitates clinical review and decisions by Clinical Pharmacist Consultants.
• Organize data includes but is not limited to sorting drugs into appropriate therapeutic and generic categories.
• Assists with auditing and investigations of medication-related claims, cases, and providers to identify misuse of medications, misuse of resources, substance abuse, and erroneous and fraudulent billing practices.
• Investigates and organizes workflow for claims referred to Pharmacy Services for review and allowable determination.
• Supports wellness and disease state management programs for Pharmacy Service and corporately which contribute to NCQA accreditation and ongoing quality improvement.

Requirements of a Pharmacy Services Technician:

• High school diploma or related certificate and 5 years’ experience as a pharmacy services technician in a retail, hospital, or other licensed pharmacy setting.
• Pharm tech certificate may be substituted for two years of experience.
• Knowledge of Medical terminology, health care coding systems such as ICD 10, CPT and HCPCS and HIPPA regulations.
• Knowledge of Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy.
• Ability to interact effectively with a variety of health care professionals, including physicians, nurses, pharmacists, and billing staff both internally and externally.
• Prepare pharmaceutical pricing calculations.
• Experience with health insurance and/or prescription benefits preferred.

**We are unable to accommodate corp. to corp. candidates**

About Motus Recruiting and Staffing, Inc:

Founded in 2006, Motus is an award-winning recruiting and staffing firm in the Pacific Northwest, specializing in professional services and technology solutions. We are a group of people who not only recognize the importance of representation, but actively fight for diversity, equity, and inclusion in the recruitment process. Our goal is to educate organizations on the importance of DEI when hiring, promoting, and supporting diverse employees. We are calling organizations to demonstrate their commitment to DEI by being intentional about who they hire.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability or protected veteran status.

PB/10865

Job Types: Full-time, Contract

Pay: $22.50 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• Pharmacy Services Technician: 5 years (Preferred)

Work Location: Remote

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