Pharmacy Technician Coordinator

ID: 644925
Type: Temp to Hire
Location: Pittsburgh, PA
Contact Email: jpetro@judge.com
Salary: Open
Judge Healthcare is currently seeking a Pharmacy Technician Coordinator for a top health plan based in the Pittsburgh, PA area.

Terms: Monday-Friday, Day shift, Contract to PERMANENT

This job will have the following responsibilities:

  • Review member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests

  • Serves as first line reviewer in monitoring and ensuring adherence to the health plan’s state and federal multiple drug benefit design offerings
  • Prioritization of requests for drug authorizations or denials.
  • Review of prior authorization criteria for drug products
  • Recommend staffing adjustments necessary to appropriately maintain a level of high efficiency/productivity
  • Outreach to members to discuss adherence to medication 

Qualifications & Requirements:
  • Current PA state pharmacy technician license without restrictions required, National Certification preferred
  • 1 - 3 years of previous experience as a Pharmacy Technician is preferred
  • Experience in pharmacy prescription claims processing/submission/payment
  • Working knowledge of retail pharmacy and/or third party prescription procession
  • Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across multiple states
  • Excellent Computer and Microsoft Office skills are required
Please send an updated resume to jpetro@judge.com or give Jess a call at 484-434-2972 to inquire more.

Thank you!
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