Pharmacy Technician, Retrospective Case Management - Archimedes
About The Position
Archimedes is seeking a Pharmacy Technician, Retrospective Case Management to support retrospective case management operations, benefit exclusions, formulary and therapeutic substitutions, and high-cost case management. This role manages assigned work queues and communicates with physicians, nurses, and pharmacists about outstanding case documentation, patient medication histories, and drug cost information for specialty and traditional medications. The position focuses on first review of retrospective specialty-medication cases against policies, support functions for high-cost case management, and internal clinical process development and maintenance. The Pharmacy Technician will also help develop expanded services that can be performed by pharmacy technicians. The role can be fully remote, but remote work is available only to residents of the states listed in the posting. The stated schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.
Requirements
- High school diploma or GED.
- Licensed Pharmacy Technician.
- Proficiency in Microsoft Excel, PowerPoint, and Word.
- Ability to consistently interact cooperatively and respectfully with other employees.
- Participate in, adhere to, and support compliance program objectives.
Nice To Haves
- Pharmacy, hospital, or managed care experience.
- Benefit knowledge and experience.
Responsibilities
- Develop and deliver follow-up messages to physicians regarding case-management documentation.
- Organize peer-to-peer collaboration between physicians and pharmacists.
- Serve as a primary point of contact for high-cost case management and retroactive drug utilization cases, coordinating outbound physician notifications and inbound case documentation.
- Manage queues and organize documents for pharmacy technician case-management work.
- Perform retrospective case management for provider-denial and low-clinical-acuity cases identified by clinical policies and guidelines.
- Participate in, adhere to, and support compliance, people and culture, and learning programs.
- Perform other duties as assigned.
Benefits
- Health, dental, and vision insurance.
- 20 days of paid time off.
- Four weeks of paid parental leave.
- Nine paid holidays.
- 401(k) company match of up to 5%, with no vesting requirement.
- Adoption Assistance Program.
- Flexible Spending Account.
- Educational Assistance Plan and professional membership assistance.
- Referral Bonus Program of up to $750.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
