Vivid Clear RX Clinical Pharmacy Technician

Hy-Vee, Inc. • Omaha, NE

1d

About The Position

The Clinical Pharmacy Technician assists the clinical pharmacist with all aspects of the prior authorization process. The technician evaluates and authorizes approval of prior authorization pharmacy requests received from prescribers by telephone and/or facsimile, using client clinical criteria.

Requirements

• Active National Pharmacy Technician Certification.
• High school diploma or equivalent.
• Working knowledge of the healthcare industry.
• HIPAA training and/or ability to work with and protect highly confidential patient and employee information.
• Knowledge of pharmacy practices, procedures, and precedents, and ability to read and understand pharmaceutical information.
• Working knowledge of drug dosage forms, drug strength, and generic and trade-name equivalents.
• Knowledge of federal and state laws and regulations regarding pharmaceutical services.
• Ability to multitask and prioritize work.
• Customer service and interpersonal skills.
• Courteous and professional behavior.
• Organized, detail-oriented, and excellent listening, verbal, written, and grammar skills.

Nice To Haves

• Pharmacy Benefit Manager (PBM), managed care, and/or other pharmacy experience.

Responsibilities

• Validate prior authorization requests, including prescriber and member information, required level of review, and applicable clinical guidelines.
• Understand and apply clinical criteria to process prior authorization requests in a timely manner.
• Proactively obtain clinical information from prescribers or appropriate staff to ensure clinical guidelines are addressed for pharmacist review.
• Maintain patient records with attention to detail and confidentiality.
• Communicate with members, pharmacies, and providers in a positive and professional manner.
• Adhere to organizational policies, procedures, and HIPAA regulations.
• Collaborate with prior authorization leadership to develop and implement process improvements and support long-term department needs.
• Perform other duties or special projects as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED