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Certified Pharmacy Technician (CPhT)

TotalMed Staffing Inc. Tempe, AZ
  • Expired: over a month ago. Applications are no longer accepted.

"We are in urgent need of PHARMACY TECHNICIAN for a well-known being the largest Medicaid Managed Care Organization in the country, also the largest carrier in the Health Insurance Marketplace and a national leader in managing long-term services and support"

Facility: Health Insurance
Location: Tempe, AZ 85281​
Pay: 18.50/hour (Weekly pay)
Hours: Mon-Fri 8am-5pm (Full Time)

MUST HAVE
Arizona State Pharm Tech License
National Pharm Tech Certificate (PTCB Certification)
Pharmacy Tech Experience
High school Diploma

Day to day

  • Formulary Management:
  • Reviews and processes formulary change requests from Health Insurance plans
  • Submits and maintains formulary change requests to Health Net’s pharmacy claims processor
  • Generates, maintains and reviews Formulary Status Grids
  • Uses reports to perform audits and quality checks on the current formulary status for accuracy and contract compliance
  • Assists Clinical Pharmacist with formulary database maintenance and updates to company web site
  • Pharmacy Audit and Recovery:
  • Performs a variety of assignments required for pharmacy audit and recovery functions.
  • Reviews paid claims for quantity and/or billing discrepancies. Corresponds with pharmacies as needed to communicate review finding.
  • Faxes inquiries to pharmacies related to review findings
  • Answers in-coming calls and responds appropriately to faxed correspondence from pharmacies
  • Updates Access database with incoming phone calls, faxes and e-mails
  • Pharmacy Services Center:
  • Takes member inquiry calls for benefit questions including prior authorization requests
  • Maintains expert knowledge on all Health Net Medicare Pharmacy benefits and formularies, including CMS regulations as they pertain to this position.
  • Educates the member on their specific pharmacy benefit and offers them options including the submission of a prior authorization request.
  • Process member submitted claims.
  • Prior Authorization:
  • Reviews requests made by physicians and pharmacies for use of prescription drugs that are non-formulary, have prior authorization requirements, have exceeded quantity or cost limits, or require assistance in on-line processing of a prescription claim.
  • Assign, enter and document prior authorizations into appropriate claims processing system.
  • Answer phone calls for prior authorization inquiries
  • Researches and resolves issues using the appropriate reference material.

TotalMed Staffing Inc.

Why Work Here?

Best of Staffing award for providing remarkable service to their talent!

In the rapidly-changing, highly regulated industry that is healthcare, you need a medical staffing partner who works for you. Enter TotalMed. We’re an award-winning medical staffing agency delivering flexible healthcare staffing solutions no matter how complex your needs. But even more than that, we’re a team who really cares. Our end goal is to achieve quality patient care while enhancing your employee morale. If you’re a healthcare professional in either clinical or non-clinical healthcare, our recruiters can help you navigate the sea of healthcare jobs, uncovering your ideal career path. Or, if you’re faced with open positions and short-staffed projects in either business care or patient care, TotalMed can provide customized medical staffing solutions to fulfill your hiring requirements.

Address

W Rio Salado Pkwy Suite 211, Tempe, AZ 85281
Tempe, AZ
USA

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