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Pharmacy Services Specialist I
Company | Premera Blue Cross |
Address | United States |
Employment type | FULL_TIME |
Salary | |
Category | Insurance |
Expires | 2023-06-11 |
Posted at | 1 year ago |
Join Our Team: Do Meaningful Work and Improve People’s Lives
- Perform Level I review for Prior Authorization exception requests according to clinical criteria.
- Determine customer eligibility, verifying and interpreting pharmacy benefits as required.
- Contribute to team efficiency by providing support to fellow team members.
- Request and review necessary medical records for Level II reviews, sending requests with documentation and recommendations to the Assistant Medical Directors for final review.
- Collect relevant medical and prescription information to support the review of non-formulary exception requests and prior authorization requests.
- Set up authorizations and initiating appropriate paperwork and notification process.
- Document exception requests status and outcomes in all relevant systems.
- Serve as a resource for other departments for pharmacy program questions.
- Complete pharmacy prior authorization review requests from providers.
- Maintain knowledge of Premera health plan policies and benefits, current treatment procedures and alternative resources.
- (3) years of experience as a Pharmacy Technician. (Required)
- Current, valid Washington State Pharmacy Technician License. (Required)
- Generous Paid Time Off to reenergize
- Tuition assistance for undergraduate and graduate degrees
- Retirement programs (401K employer match and pension plan)
- Life and disability insurance
- Wellness incentives, onsite services, a discount program and more
- Medical, vision and dental coverage
- Free parking
- National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.
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