Talent.com
Clinical Pharmacy Technician
Clinical Pharmacy TechnicianPrime Therapeutics • Jackson, MS, United States
No longer accepting applications
Clinical Pharmacy Technician

Clinical Pharmacy Technician

Prime Therapeutics • Jackson, MS, United States
30+ days ago
Job type
  • Full-time
Job description

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

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

  • Responsibilities
  • 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.
  • For CPTs assigned to work the fax queue, responsibilities will also include :
  • Clinically reviews coverage determinations with attention to detail, for medications via Fax. Communicates decision to physicians, physician`s office staff, medical management staff and / or pharmacists within SLA (service level agreement) guidelines.
  • Efficiently multi-tasks and monitors several queues and assignments. Adapts to team requirements as business needs change (e.g., fax work, pending queues, oral notifications, and failed faxes).
  • Minimum Qualifications
  • High school diploma from an accredited school or equivalent GED
  • May have no prior experience
  • Required CPT / ExCPT / LPT / PTCB / RPT, Pharmacy Technician, State Requirements - Pharmacy
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship

  • Additional Qualifications
  • Must have an active pharmacy technician licensure or registration in accordance with state requirements.
  • If state does not require an exam for licensure / registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
  • In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
  • Active Pharmacist license supersedes requirement for CPT and / or PTCB.
  • 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.
  • Preferred Qualifications
  • Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

    Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

    Potential pay for this position ranges from $17.85 - $25.48 based on experience and skills.

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

    _Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to_ _race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law._ _ _

    _We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._

    _Prime Therapeutics LLC is a Tobacco-Free Workplace employer._

    Positions will be posted for a minimum of five consecutive workdays.

    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 proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

    We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

    Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

    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.

    Create a job alert for this search

    Pharmacy Technician • Jackson, MS, United States

    Related jobs
    Physician (MD / DO) - Psychiatry - General / Other - $350,000 to $550,000 per year in Hattiesburg, MS

    Physician (MD / DO) - Psychiatry - General / Other - $350,000 to $550,000 per year in Hattiesburg, MS

    LocumJobsOnline • Jackson, Mississippi, US
    Full-time +1
    LocumJobsOnline is working with Curative to find a qualified Psychiatry MD in Hattiesburg, Mississippi, 39401!.Psychiatry Medical Director - Hattiesburg, Mississippi. K+ Income| Leadership Role | Fl...Show more
    Last updated: 26 days ago • Promoted
    Travel Medical Laboratory Technician (MLT) - $1,315 per week in Jackson, MS

    Travel Medical Laboratory Technician (MLT) - $1,315 per week in Jackson, MS

    AlliedTravelCareers • Jackson, MS, US
    Full-time
    AlliedTravelCareers is working with Medical Solutions to find a qualified Medical Lab Technician in Jackson, Mississippi, 39216!. A facility in Jackson, MS is seeking its next amazing MLT (Medical L...Show more
    Last updated: 30+ days ago • Promoted
    Patient Care Technician - PCT

    Patient Care Technician - PCT

    Fresenius Medical Care • Clinton, MS, United States
    Full-time
    Comprehensive Paid Training Provided.RN Tuition Assistance Available.Low-Cost Benefits (Medical, Dental, Vision, Well-Being). Dialysis experience, CCHT Certificate (.About this role : As a Patient Ca...Show more
    Last updated: 24 days ago • Promoted
    Patient Care Technician - PCT

    Patient Care Technician - PCT

    Fresenius Medical Care Holdings, Inc. • Clinton, MS, United States
    Full-time
    Comprehensive Paid Training Provided.RN Tuition Assistance Available.Low-Cost Benefits (Medical, Dental, Vision, Well-Being). Dialysis experience, CCHT Certificate (.About this role : As a Patient Ca...Show more
    Last updated: 30+ days ago • Promoted
    Physical Therapist Clinic Director

    Physical Therapist Clinic Director

    Upstream Rehabilitation • Byram, MS, United States
    Full-time
    Lead a team of amazing Physical Therapists as the Clinic Director at Elite Physical Therapy in Byram, MS.I am passionate about serving our patients through high quality care and exceeding expectati...Show more
    Last updated: 30+ days ago • Promoted
    Travel Cath Lab Tech - $2,746 per week in Jackson, MS

    Travel Cath Lab Tech - $2,746 per week in Jackson, MS

    AlliedTravelCareers • Jackson, MS, US
    Full-time
    AlliedTravelCareers is working with Mindlance Health to find a qualified Cath Lab Tech in Jackson, Mississippi, 39272!.ID : 73949360 Shift : AM 8 Hrs Description : Shift details : 5 Days a week with Cal...Show more
    Last updated: 28 days ago • Promoted
    Patient Care Technician - PCT

    Patient Care Technician - PCT

    FRESENIUS MEDICAL CENTER • Clinton, MS, United States
    Full-time
    Comprehensive Paid Training Provided.RN Tuition Assistance Available.Low-Cost Benefits (Medical, Dental, Vision, Well-Being). Dialysis experience, CCHT Certificate (.About this role : As a Patient Ca...Show more
    Last updated: 30+ days ago • Promoted
    Patient Care Technician - PCT

    Patient Care Technician - PCT

    Fresenius Medical Care North America • Jackson, MS, United States
    Full-time
    Comprehensive Paid Training Provided.RN Tuition Assistance Available.Low-Cost Benefits (Medical, Dental, Vision, Well-Being). Dialysis experience, CCHT Certificate (.Functions as part of the dialysi...Show more
    Last updated: 30+ days ago • Promoted
    Patient Care Technician

    Patient Care Technician

    DaVita • Jackson, MS, United States
    Full-time
    Beasley RoadSuite A, Jackson, Mississippi, 39206, United States of America.DaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center.You can make an e...Show more
    Last updated: 30+ days ago • Promoted
    Pharmacist-Clinical Staff

    Pharmacist-Clinical Staff

    Baptist Memorial Healthcare Corporation • Jackson, MS, United States
    Full-time
    Provides age-specific pharmaceutical care and basic clinical services for assigned patient care areas.Contributes to goals, programs, QA, PI and other activities for their unit / department / hospital....Show more
    Last updated: 8 days ago • Promoted
    ER Tech

    ER Tech

    Community Health Systems • Jackson, MS, United States
    Full-time
    The Emergency Room (ER) Technician provides essential support to the Emergency Department by assisting with patient care under the supervision of licensed nursing staff. This role ensures the depart...Show more
    Last updated: 1 day ago • Promoted
    Behavioral Patient Care Technician

    Behavioral Patient Care Technician

    Healthier Mississippi People • Jackson, MS, United States
    Full-time
    The Behavioral Patient Care Technician (BPCT) supports clinical staff by managing patients with escalating or violent behaviors and reducing negative visitor behavior through communication techniqu...Show more
    Last updated: 30+ days ago • Promoted
    Emergency Services Technician 1

    Emergency Services Technician 1

    Franciscan Missionaries of Our Lady Health System • Jackson, MS, United States
    Full-time
    Under the direct supervision of the charge nurse, assists with emergency outpatients and performs approved duties.Reports to the Nurse Manager, Charge Nurse, and / or Shift Supervisor.Transports pati...Show more
    Last updated: 2 days ago • Promoted
    Psychiatric Tech

    Psychiatric Tech

    Healthier Mississippi People • Jackson, MS, United States
    Full-time
    To provide patient care to impaired or emotionally disturbed individuals under the direction of a nurse manager or charge nurse and in accordance with institutional policies and procedures.To perfo...Show more
    Last updated: 8 days ago • Promoted
    Locum Physician (MD / DO) - Psychiatry - General / Other in Jackson, MS

    Locum Physician (MD / DO) - Psychiatry - General / Other in Jackson, MS

    LocumJobsNetwork • Jackson, US
    Full-time +1
    LocumJobsNetwork is working with CompHealth to find a qualified Psychiatry MD in Jackson, Mississippi, 39216!.CompHealth exists to make the locums process easier. Not only will we search for jobs th...Show more
    Last updated: 30+ days ago • Promoted
    Licensed Psychiatric NP

    Licensed Psychiatric NP

    Headway • Jackson, MS, US
    Full-time
    Licensed Psychiatric Nurse Practitioner.Wage : Between $89-$203 an hour.Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?.Whether you wan...Show more
    Last updated: 30+ days ago • Promoted
    Hospital Technician I

    Hospital Technician I

    Healthier Mississippi People • Jackson, MS, United States
    Full-time
    To assist the nurse by providing care and treatment of patients in accordance with UMMC policy and nursing practice laws and regulations. To perform job duties in accordance with the medical center'...Show more
    Last updated: 8 days ago • Promoted
    Patient Care Technician

    Patient Care Technician

    DaVita Inc • Jackson, MS, US
    Full-time
    DaVita is seeking a patient care technician who is looking to give life in an outpatient dialysis center.You can make an exceptional difference in the lives of our patients and their families deali...Show more
    Last updated: 30+ days ago • Promoted