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. The position manages assigned non-clinical work queues and communicates with physicians, nurses, and pharmacists regarding outstanding case documentation, patient medication histories, and drug cost information for specialty and traditional medications. The role includes first review of retrospective specialty medication cases against policies, support for high-cost case management, and internal clinical process development and maintenance. The Pharmacy Technician will also help develop expanded services that pharmacy technicians can perform. The position can be fully remote, but remote work is available only to residents of the states listed in the posting.
Requirements
- High school diploma or GED.
- Licensed Pharmacy Technician.
- Proficiency in Microsoft Excel, PowerPoint, and Word.
- Ability to interact consistently, 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.
- Manage and serve as the 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 work related to case management.
- 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 insurance
- Dental insurance
- 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
- Professional membership assistance
- Referral bonus program of up to $750
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
