Clinical Review Pharmacy Technician Manager Jobs

Strong organization and time management skills

Experience in managing employees in a remote environment a plus

Provide guidance and coaching on day-to-day technician responsibilities

Work with other team leaders to improve the member experience and coordination between other teams

3+ years of healthcare people leadership experience required

Experience caring for Medicare patients and a strong desire to continue to work closely with aging patient populations

Full time remote work from home with active pharmacy technician license/registration and national pharmacy technician certification.

Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.

Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.

For CPTs assigned to work the fax queue, responsibilities will also include:

Must have an active pharmacy technician licensure or registration in accordance with state requirements.

In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).

1+yrs. of retail pharmacy experience

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Active state pharmacy tech license in AZ, OH, FL or TX

High School diploma or GED

Board certification and specialty residency training preferred

Licensed as a registered pharmacist by the Texas State Board of Pharmacy required. Your Job Responsibilities :

Graduate of an accredited school of pharmacy

Can perform the duties of a staff pharmacist, clinical pharmacist, and/or clinical pharmacy specialist when necessary.

Responsible for oversight of clinical pharmacists. Provides feedback and guidance throughout the year. Performs disciplinary actions as needed.

Serves as a member of the pharmacy leadership team. Evaluate and/or provides input for the performance evaluation of pharmacy staff.

5+ years of health plan or pharmacy benefit manager experience, specifically involved in prior authorization review

3-5+ years of management experience

Directly manage, coach, and mentor a team of prior authorization technicians

Manage team to meet target KPIs associated with our operating model

Cross-functional collaboration with other departments including troubleshooting eligibility questions, claims adjudication, and benefit designs

Drive quality provider and member experiences by ensuring policy and procedures are adhered to