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Heartland of Perrysburg
Bowie, MD, United States
Our Company: Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for
Job Source: Heartland of PerrysburgHeartland of Perrysburg
Jessup, MD, United States
Our Company: Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for
Job Source: Heartland of PerrysburgHeartland of Perrysburg
Beltsville, MD, United States
Our Company: Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for
Job Source: Heartland of PerrysburgGenesis Healthcare Services
Bowie, MD, United States
Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you -- passionate, highly skilled and motivated to make a difference.Join the Genesis tea
Job Source: Genesis Healthcare ServicesHeartland of Perrysburg
Elkridge, MD, United States
Our Company: Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for
Job Source: Heartland of PerrysburgHeartland of Perrysburg
Greenbelt, MD, United States
Our Company: Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for
Job Source: Heartland of PerrysburgHeartland of Perrysburg
Savage, MD, United States
Our Company: Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for
Job Source: Heartland of PerrysburgHeartland of Perrysburg
Annapolis Junction, MD, United States
Our Company: Heartland Hospice is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for
Job Source: Heartland of PerrysburgAnnapolis
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 Annapolis
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