Ppl Jobs in Virginia (NOW HIRING)

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Education Level: High School Graduate/GED
Description:

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

• 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.

Minimum Requirements:

• Education: HS/GED

• Experience: 1-3 years

• Job Specific: Minimum of 6 months in retail, hospital or facility pharmacy setting

• An equivalent combination of experience and education is acceptable.

Other Knowledge, Skills, and Abilities:

• Licenses, Certifications, etc.: PTCB Certification or the ability to obtain PTCB Certification within one year of hire.

• Employees in states which require a Pharmacy Technician certification exam may substitute state certification for the PTCB.

• In the State of Florida, license registration with the Board of Pharmacy is required without exception.

• Ability to type 40 WPM

Preferred Qualifications Education:

• High School degree or equivalent experience.

• Experience: Minimum of 6 months in retail, hospital or facility pharmacy setting required

• Knowledge, Skills, Abilities: Proficiency in Pharmacy computerized systems and software applications required

• Excellent written and verbal communication skills required.

• Ability to follow clinical criteria and instructions to approve prior authorization requests.

• Ability to use standard corporate software packages and corporate applications.

• Ability to identify and trouble-shoot problematic issues.

****SCHEDULE FOR THE FIRST 4 WEEKS OF TRAINING WILL BE: 9AM-530PM.
***SCHEDULES AFTER TRAINING:
2 ppl - Sunday-Thursday; 11:30am - 8pm (30 min lunch)
1 person- Monday- Friday 9am-5:30pm
2 ppl - Tuesday - Saturday; 11:30am - 8pm (30 min lunch)***
**STATE CERTIFICATION (VA) OR NATIONAL CERTIFICATION (PTCB) REQUIRED***

Kind Regards,

Sweta Verma

732 549-5907

Integrated Resources, Inc.