Springfield, IL · On-site
$20.73 - $31.58/hr
Ensures all required clinical criteria and documentation are complete prior to pharmacist review ... Refill authorization experience. * Prior health system or retail experience * Familiarity with top ...
Springfield, IL · On-site
$20.73 - $31.58/hr
Ensures all required clinical criteria and documentation are complete prior to pharmacist review ... Refill authorization experience. * Prior health system or retail experience * Familiarity with top ...
Provide guidance on the prior authorization process, step edits, coding, and payer-specific ... Minimum 3-5 years of Specialty Pharma experience, preferably within the Pharmaceutical ...
Provide guidance on the prior authorization process, step edits, coding, and payer-specific ... Minimum 3-5 years of Specialty Pharma experience, preferably within the Pharmaceutical ...
$27.64 - $31.82
2% of jobs
$31.82 - $36
0% of jobs
$36 - $40.18
0% of jobs
$40.18 - $44.36
0% of jobs
$44.36 - $48.54
5% of jobs
$48.54 - $52.72
9% of jobs
$55.42 is the 25th percentile. Wages below this are outliers.
$52.72 - $56.90
13% of jobs
The median wage is $60.78 / hr.
$56.90 - $61.08
22% of jobs
$61.08 - $65.26
21% of jobs
$65.81 is the 75th percentile. Wages above this are outliers.
$65.26 - $69.44
18% of jobs
$69.44 - $73.62
9% of jobs
$27
$60
$73
| Aspect | Prior Authorization Pharmacist | Pharmacy Technician |
|---|---|---|
| Credentials | Doctor of Pharmacy (PharmD) license, certification | High school diploma, pharmacy technician certification |
| Work Environment | Hospitals, clinics, insurance companies, retail pharmacies | Retail pharmacies, hospitals, mail-order pharmacies |
| Job Role | Reviewing insurance requests, approving prior authorizations, clinical decision-making | Assisting pharmacists, processing prescriptions, data entry |
Prior Authorization Pharmacists and Pharmacy Technicians work closely in pharmacy settings, but the pharmacist handles clinical review and approval of insurance requests, while the technician supports administrative tasks. The pharmacist's role requires advanced credentials and clinical expertise, whereas the technician focuses on operational support. Both roles are essential in ensuring efficient medication management and patient care.
A prior authorization pharmacist works specifically with the pre-approval process of filling prescribed medication orders to ensure the proper insurance coverage and efficacy for the drugs used. In this career, you work with patients as well as clinical staff, who relay prescription information from a provider. Your duties include answering questions and concerns about new medications, explaining proper usage and doses, and advising about precautions. Other responsibilities involve processing paperwork, overseeing inventory management, and supervising technicians.
$20.73 - $31.58/hr
Other
This job post has expired 3 days ago. Applications are no longer accepted.
7.2
Based on 842 frontline employees who took The Breakroom Quiz
349th of 887 rated healthcare providers
Job Description:
Job Specifics:
Schedule: Full time (40 hours)
Shifts: Variable 8- to 10-hour shifts between 6:00 am and 6:00 pm, Monday through Sunday.
Benefits Eligible: Yes - Link to Benefit Details (https://intermountainhealthcare.org/careers)
Location: This is a fully remote position. Candidates for this role need to have an active Pharmacy Technician license in Utah, Colorado, Montana or Nevada. Candidates outside of these states will not be considered.
Currently, we are not hiring remote workers in the following states: CA, CT, HI, IL, NY, RI, VT, and WA. Please note that an on-camera video interview with Microsoft Teams will be required as well as onsite interviews and/or meetings.
Join our Refill Authorization Pharmacy Team at Intermountain Health , where pharmacists and pharmacy technicians work collaboratively to ensure patients have timely access to prescribed medications. This fully remote team supports patient care by completing medication refill authorizations for primary care clinics across Intermountain. Future cross-training is planned with the Prior Authorization and Medication Assistance teams. If you enjoy focused, detail-driven work, strong teamwork, and making a meaningful impact on patient access to care, you'll feel right at home on this team.
What does it mean to be a caregiver with Intermountain? Check out this video (https://youtu.be/4NWmzvtxZDA?si=fhwQlYWE59dbkpYy) and learn more and discover the "Power of We."
If you are interested in learning more about this role or about Intermountain Health, click here to schedule time with me! (https://calendly.com/noel-newton)
Job Function
The Pharmacy Technician demonstrates consistent application of knowledge and skills in assisting the pharmacist in execution of appropriate, safe, efficacious, efficient, and cost-effective pharmaceutical care. The position participates in many procedural aspects of pharmacy practice under the supervision of a licensed pharmacist or technician supervisor and is an integral part of the pharmacy team. This position supports Pharmacy Services in all locations (i.e., acute, community, ambulatory, specialty).
Essential Functions
Reviews patient charts to verify most recent provider visits and ensure eligibility for refill under the EMRC collaborative practice agreement.
Gathers and reviews relevant clinical information (e.g., labs, monitoring parameters, and medication history) to support refill requests.
Prepares and documents refill authorization requests using pharmacy technology systems in accordance with state law, policies, and protocols.
Ensures all required clinical criteria and documentation are complete prior to pharmacist review.
Routes completed refill requests to the pharmacist for final verification and processing.
Communicates with pharmacists and care team members regarding missing information, concerns, or clarification needs.
Identifies potential safety concerns or gaps in care and escalates appropriately to the pharmacist.
Maintains accurate and compliant documentation in the patient record.
Demonstrates strong computer proficiency and the ability to efficiently navigate multiple systems and complex electronic health records in a remote work environment.
Works collaboratively as part of a large, remote team; demonstrates strong interpersonal skills, professionalism, and the ability to build positive working relationships across the care team.
Skills
Technical competency
Regulatory compliance
Financial awareness
Service delivery
Job performance
Reliability and Attendance
Communication
Organization
Computer proficiency
Qualifications
High School or equivalent is required
Current pharmacy technician certification and/or license applicable to state of practice.
Current knowledge of state and federal regulations and statutes regarding the practice of pharmacy and the distribution of approved drugs, controlled substances, and investigational agents.
Any lapse or failure to meet these requirements may result in disciplinary action, up to termination, at the hiring manager's discretion.
Preferred Qualifications
3 years of experience preferred.
Refill authorization experience.
Prior health system or retail experience
Familiarity with top 100 most common medications
Physical Requirements
Location:
Supply Chain Center
Work City:
Midvale
Work State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$20.73 - $31.58
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .
By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
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