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Role Description

This role involves providing technical support for pharmacy benefit, reimbursement, and other drug use issues which do not require clinical judgment. The Pharmacy Services Technician assists the Clinical Pharmacy Consultants and Pharmacy Services staff with formulary-related operations and other operational processes.

• Respond to non-clinical pharmacy issues from providers and pharmacy services staff.
• Complete daily formulary operational processes including tracking and processing pharmacy medical exception requests.
• Prepare reconsideration requests for Clinical Pharmacy Consultant review.
• Obtain and organize drug utilization data for clinical review.
• Assist with auditing and investigations of medication-related claims.
• Support wellness and disease state management programs.

Qualifications

• High school diploma or related certificate required.
• Three years of experience as a pharmacy services technician in a retail, hospital, or other licensed pharmacy setting, or equivalent combination of education and experience.
• Pharmacy Technician 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 HIPAA regulations.
• Ability to interact effectively with a variety of health care professionals.
• Demonstrated ability to perform pharmaceutical dosing calculations.
• Ability to type 30 words per minute (60 wpm preferred) with basic computer program skills.
• Experience with health insurance and/or prescription benefits preferred.
• Experience with AI tools and technologies to enhance productivity is highly desired.

Requirements

• Ability to organize, plan, and prioritize daily workflow and projects within time constraints.

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions.
• Up to 12 weeks of paid parental time off.
• Award-winning wellness programs that reward participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.