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Pharmacy Technician III - Health Plan
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Tucson, AZ Tucson, Arizona |
About this job
About University Physicians Health Plans
The University of Arizona Health Plans (UAHP) manage a variety of health plans. Our mission is to advance health and wellness through education, research and patient care.
About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.
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Job Summary
This position supports the Pharmacy Department in processing pharmacy prior authorization (PA) requests in an accurate and timely manner. Supports the internal and external customers of the Health Plan by addressing issues pertaining to pharmacy and providing pharmacy data as requested. Responsible for performing activities and functions in accordance with policies and procedures under the immediate supervision of a pharmacist and/or medical director.
Essential Functions
* Processes and finalizes PA requests based on approved guidelines under the supervision of a pharmacist and/or a medical director: entering of PAs into the system and prioritizing requests; checking formulary alternatives, reviewing tried and failed medications; utilizing drug references and verifying the drug being requested is indicated/approved for the condition; document all related information regarding the PA approval or non-approval; monitors pending pharmacy prior authorization requests for compliance with regulatory timelines and contacts providers for requested information to avoid out of compliance decisions; respects and maintains highly confidential information as required by HIPAA.
* Meets established departmental performance metrics for quality and productivity.
* Communicates clearly and accurately with other healthcare professionals including internal personnel as well as individuals external to the organization.
* Keeps a maintained and organized workstation, ensuring files are current and access to information is readily available.
Minimum Qualifications
Requires pharmacy technician licensure in the state of practice (where applicable).
Requires pharmacy technician licensure in the state of practice (where applicable). Pharmacy technician certification required.
Must demonstrate 1 to 2 years of experience performing pharmacy technician duties in a pharmacy setting with managed care emphasis preferably within a healthcare organization or retail pharmacy. Must have good written and verbal communication skills for interfacing with all levels of staff, physicians, patients and other contacts. Must have the ability to learn and master various software programs necessary for job functions
Preferred Qualifications
Knowledge of medication management information system software and automated dispensing systems.Previous experience with Medicare, Medicaid or Long Term Care preferred
Additional related education and/or experience preferred.
The University of Arizona Health Plans (UAHP) manage a variety of health plans. Our mission is to advance health and wellness through education, research and patient care.
About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.
* --
Job Summary
This position supports the Pharmacy Department in processing pharmacy prior authorization (PA) requests in an accurate and timely manner. Supports the internal and external customers of the Health Plan by addressing issues pertaining to pharmacy and providing pharmacy data as requested. Responsible for performing activities and functions in accordance with policies and procedures under the immediate supervision of a pharmacist and/or medical director.
Essential Functions
* Processes and finalizes PA requests based on approved guidelines under the supervision of a pharmacist and/or a medical director: entering of PAs into the system and prioritizing requests; checking formulary alternatives, reviewing tried and failed medications; utilizing drug references and verifying the drug being requested is indicated/approved for the condition; document all related information regarding the PA approval or non-approval; monitors pending pharmacy prior authorization requests for compliance with regulatory timelines and contacts providers for requested information to avoid out of compliance decisions; respects and maintains highly confidential information as required by HIPAA.
* Meets established departmental performance metrics for quality and productivity.
* Communicates clearly and accurately with other healthcare professionals including internal personnel as well as individuals external to the organization.
* Keeps a maintained and organized workstation, ensuring files are current and access to information is readily available.
Minimum Qualifications
Requires pharmacy technician licensure in the state of practice (where applicable).
Requires pharmacy technician licensure in the state of practice (where applicable). Pharmacy technician certification required.
Must demonstrate 1 to 2 years of experience performing pharmacy technician duties in a pharmacy setting with managed care emphasis preferably within a healthcare organization or retail pharmacy. Must have good written and verbal communication skills for interfacing with all levels of staff, physicians, patients and other contacts. Must have the ability to learn and master various software programs necessary for job functions
Preferred Qualifications
Knowledge of medication management information system software and automated dispensing systems.Previous experience with Medicare, Medicaid or Long Term Care preferred
Additional related education and/or experience preferred.
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