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Clearvista Lake Health Campus
Indianapolis, IN, United States
JOIN TEAM TRILOGY: Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest. WHAT WE'RE LOOKING FOR: The primary purpos
Job Source: Clearvista Lake Health CampusOption Care Health
Carmel, IN, United States
Extraordinary Careers. Endless Possibilities. With the nation’s largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionatel
Job Source: Option Care HealthOption Care Enterprises, Inc.
Carmel, IN, United States
Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionatel
Job Source: Option Care Enterprises, Inc.Option Care Health
Carmel
**Extraordinary Careers. Endless Possibilities.** **With the nation’s largest home infusion provider, there is no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassi
Job Source: Option Care HealthCommunity Health Network
Fishers
Hospice Clinical Liaison RN - Anderson Job Ref 2404349 Category Nursing Job Family Registered Nurse Department Hospice-RN Schedule Full-time Facility Home Health Fishers 9894 E 121st Street Fishers, IN 46038 United States Shift Day Job Hours 8am-5pm Monday through Friday **Join Community** Community Health Network was created by our neighbors, for
Job Source: Community Health NetworkCommunity Health Network
Indianapolis, IN, United States
Clinical Pharmacy Specialist -Ambulatory Care Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communit
Job Source: Community Health NetworkeCommunity
Indianapolis, IN, United States
Clinical Pharmacy Specialist -Ambulatory Care Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, community is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communiti
Job Source: eCommunityCommunity Health Network
Indianapolis, IN, United States
Community Health Network Clinical Pharmacy Specialist- Ambulatory Indianapolis , Indiana Apply Now Clinical Pharmacy Specialist- Ambulatory Job Ref 2401531 Category Allied Health Job Family Pharmacy Department Ambulatory Pharmacy Schedule Full-time Facility Community Physician Network Indianapolis Northside 1 Indianapolis, IN 46256
Job Source: Community Health NetworkIndianapolis
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Clinical Pharmacy Technician II - MCO Clinical Liaison - Remote Louisiana
**Job Description Summary**
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
**Job Description**
+ Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system.
+ Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
+ Escalates requests to Pharmacist when request requires extensive clinical review or denial.
+ Monitors telephone system to ensure adequate staffing to maintain client services levels.
+ Assesses training needs within the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.
+ Demonstrates, advocates and reinforces a positive team environment.
+ Other duties as assigned.
**Responsibilities**
+ Must have an active pharmacy technician licensure or registration in accordance with state requirements.
+ If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
+ In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
+ Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
+ In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).
+ Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.
+ Excellent written and verbal communication skills.
+ Ability to follow clinical criteria and instructions to approve prior authorization requests.
+ Minimum of 2 years dispensing or retail experience required, or equivalent internal training will be substituted.
+ Ability to identify and trouble-shoot problematic issues.
**Work Experience**
Work Experience - Required:
Pharmacy
Work Experience - Preferred:
**Education**
Education - Required:
GED, High School
Education - Preferred:
**Certifications**
Certifications - Required:
CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy - Pharmacy
Certifications - Preferred:
Potential pay for this position ranges from $17.16 - $25.73 based on experience and skills. Pay range may vary by 8% depending on applicant location.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (rimetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC is an Equal Opportunity Employer_ _and a Tobacco-free workplace_ _. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law._ _Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures_ _._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. **** If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].
Email Alert for Clinical Pharmacy Technician II - MCO Clinical Liaison - Remote Louisiana_ jobs in Indianapolis
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