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Pharmacy Technician Certified

TotalMed Tempe, AZ

  • Expired: over a month ago. Applications are no longer accepted.
Job Description

Description
Position Purpose: Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients
• Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required
• Obtain verbal authorizations and request detailed clinical information from prescribers
• Approve coverage determination requests based on defined criteria
• Enter and document coverage determination request decision into the PBM system and notify providers and/or members
• Respond to client inquiries regarding authorization approvals and PBM on-line applications
• Refer coverage determination requests for specialty drugs to delegated vendor or client for processing
• Contact providers for additional information to facilitate coverage determination review

CPhT and PTCB Required

TotalMed

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Tempe, AZ
85281 USA

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Healthcare

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