Kforce Pharmacy Tech - Healthcare Industry in Troy, Michigan

Kforce has a client that is searching for a certified pharmacy tech in the Healthcare Industry in the Jersey City, NJ area.Essential Functions:

  • 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

  • High School diploma or GED/equivalent

  • Pharmacy CPT - Certified Pharmacy Technician

  • PTCB - Pharmacy Technician Certification

  • Certification/licensure in accordance with state requirements

  • 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

  • Ability to identify and trouble-shoot problematic issues

  • Minimum of 6 months dispensing or retail experience required, or equivalent internal training will be substituted

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.Compensation Type:HoursMinimum Compensation:14.00Maximum Compensation:15.77