clinical pharmacy technician

Ventegra

<p>Job Purpose</p><p>Ventegra is a rapidly growing, fast paced, innovative virtual company. As part of Ventegra, the Pharmacy Technician I, provide daily operational support to the Pharmacist and Customer Care Specialist related to prior authorizations. The Pharmacy Technician 1 has the clinical skills to review and evaluate the appropriateness and medical necessity of medications based on established criteria. The Pharmacy Technician I, promotes and supports quality pharmacy services.</p><p>Duties and Responsibilities</p><ul><li>Maintain an accurate and current knowledge of required criteria, training materials, systems, prior authorization processes and plan benefits</li><li>Accurately enter authorizations approvals in the claims processing system</li><li>Accurately document case notes relate to member&rsquo;s medications as required in the prior authorization review process</li><li>Review incoming fax requests for medications requiring a prior authorization, while ensuring an elevated level of customer service and maximizing productivity. Requests additional information from providers as needed to properly evaluate the request</li><li>Assist Clinical Pharmacist by providing accurate documentation and clear clinical notes related to a prior authorization request</li><li>Provide clinical review and determinations of prior authorization in keeping with legal and contractual requirements, including turnaround times and service level agreements</li><li>Escalate issues through the appropriate channel of management to ensure patient has access to medications</li><li>Effectively manages and prioritize prior authorization requests based on turn-around times</li><li>Effectively communicates both internally and externally to enhance the effectiveness of pharmacy prior authorization process and ensure the needs of the members and clients are met</li><li>Must maintain the highest level of member confidentiality and adheres to all company policies regarding confidentiality and HIPAA</li><li>Assist in the processing of telephonic prior authorizations request from physicians using established criteria and guideline</li><li>Assist with other duties and responsible as assign by management based on department needs</li></ul><p>Required Skills and Abilities</p><ul><li>Excellent verbal and written communication skills</li><li>Ability to focus and prioritize</li><li>Accurate and detail oriented</li><li>Ability to multi-task with minimal direction</li><li>Flexibility and ability to adapt to changes and updates to processes and protocols</li><li>Demonstrate problem-solving skills, information gathering, research, alternatives analysis, applying creative solutions to unique and/or immediate issues</li><li>High volume call center experience a plus</li><li>Experience processing in pharmacy prior authorization request using medication criteria</li><li>Proficient in Microsoft Office programs (Word, Excel, Outlook, etc.)</li><li>Dependability and good attendance are an essential function of the job</li></ul><p>Education and Experience</p><ul><li>High School Diploma or GED equivalent.</li><li>Current Pharmacy Technician License required; Certified Pharmacy Technician License (CPhT) required</li><li>1-year experience as a Pharmacy Prior Authorization Technician or minimum 1-year experience as a Ventegra Customer Care Specialist (CCS) with Technician Certification (CPhT required)</li></ul><p>Work environment requirements</p><p>A home office setting, free from noise and distraction allowing you to interact professionally both externally and internally.</p><p>Pay: $20.00 per hour</p><p>Work Location: Remote</p>

Clinical Pharmacy Technician I

ECU Health

<div><p><b>Position Summary</b>
</p><p>Pharmacy Technicians are a foundation of the pharmacy department and drive many of the workflow activities. The expectations are to support the mission, vision, and core values of ECU Health and the pharmacy department by engaging directly with patients, multidisciplinary teams, and payers.</p><p><b>
Minimum Requirements</b>
</p><p>2 years of related experience<br>
<br>
Must be registered with the North Carolina Board of Pharmacy within 30 days of hire<br>
<br>
Must maintain and complete additional job specific competencies</p><p><b>
Preferred Requirements</b><br>
</p><div></div><div><br>
<br>
<br>
<br>
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<br>
<p>Medication reconciliation experience preferred</p></div><p>
Certification through National Pharmacy Technician Association - CPhT<br>
<br>
Associate in Applied Science (AAS) Degree - Pharmacy Technology PTPB
</p><p><b>Pay Range</b>
</p><p>$18.01 - $26.25</p><p><b>
ECU Health</b>
</p><p><b>About ECU Health Duplin Hospital</b></p><p>
ECU Health Duplin Hospital is an 81-bed facility located in Kenansville, North Carolina. The 15-bed emergency department serves approximately 25,000 patients per year. In addition to providing general medical and surgical services, ECU Health Duplin Hospital offers chemotherapy and other cancer infusion interventions and has earned national designation as a Primary Stroke Center.</p><p><b>
General Statement</b>
</p><p>It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.</p><p>
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.</p><p>
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant's qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.</p></div>

CenterWell Pharmacy

<div>
 <strong>
  Become a part of our caring community
  <br/>
  <br/>
 </strong>
 As a Clinical Services Pharmacy Technician, you will intake for all calls from patients, pharmacies and providers. You will perform basic administrative/clerical/operational/customer support/computational tasks. Typically work on routine and patterned assignments.
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 You will address questions related to specific assigned area and assist with medication research. You will evaluate calls that require consultation with a pharmacist. You will make outbound calls to patients to offer medication therapy management programs and schedules medication review sessions with consultative pharmacists. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.
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  Required Qualifications
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 </strong>
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  Use your skills to make an impact
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  Candidates MUST reside in one of the following states: Arizona, Ohio, Texas, or Florida.
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 <ul>
  <li>
   Must have an active Pharmacy Technician or Tech in Training license in the state you reside
  </li>
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   Technical Mail Order Pharmacy or Manufacturing experience
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   Experience as a Pharmacy Technician OR call center experience in a pharmacy or related call center setting
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   Experience using multiple computer applications simultaneously and strong data entry skills
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  </li>
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  Required Work Schedule
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   10:30am - 7:00pm EST Monday-Friday.
  </li>
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    You must also be available to work every 3rd Saturday 10:00am - 6:30pm EST with a day off during the week when it is your Saturday rotation.
    <br/>
   </li>
  </ul>
 </ul>
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  Preferred Qualifications
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 <ul>
  <li>
   PTCB or ExCPT Certified
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   High School Diploma or GED
  </li>
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   Bilingual in English / Spanish with the ability to speak, read, and write in both languages without limitations or assistance.
   <br/>
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  </li>
 </ul>
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  Additional Information
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 To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
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 <ul>
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   At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
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   Satellite, cellular and microwave connection can be used only if approved by leadership.
  </li>
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   Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  </li>
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   Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
  </li>
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   Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
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   <br/>
  </li>
 </ul>
 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
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  Scheduled Weekly Hours
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  <br/>
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 40
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  Pay Range
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  <br/>
 </strong>
 The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
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 $40,000 - $52,300 per year
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 <strong>
  Description Of Benefits
  <br/>
  <br/>
 </strong>
 Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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 <br/>
 <strong>
  About Us
  <br/>
  <br/>
 </strong>
 About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
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 <br/>
 About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.
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 <strong>
  Equal Opportunity Employer
  <br/>
  <br/>
 </strong>
 It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
</div>


Clinical Services Pharmacy Technician

Sam's Club

<div><h2 class="jobSectionHeader"><b>Position Summary...</b></h2><p></p><h2 class="jobSectionHeader"><b>
What you'll do...</b></h2><p>
Provides member service by acknowledging members, identifying member needs, assisting with purchasing decisions, locating merchandise, resolving member issues and concerns, and promoting company products and services that engage members in total healthcare solutions.</p><p></p><p>
Complies with company policies, procedures, and standards of ethics and integrity. Utilizes the Open Door Policy. Operates hardware (for example, cash registers, related equipment), processes member purchases, and assists in payments, returns, refunds, and exchanges using appropriate procedures for different membership and payment types.</p><p></p><p>
Provides Pharmacy products and services to members in accordance with Company policies and procedures by assisting with processing prescription and OTC orders and purchases, stocking and securing Pharmacy supplies and merchandise, entering prescription information or filing prescriptions, and completing and maintaining paperwork, forms, and other required documentation.</p><p></p><p>
Receives and stocks merchandise in the Pharmacy area and organizes and maintains the Pharmacy area by following company procedures, utilizing equipment appropriately, merchandising, and completing paperwork, logs, and other required documentation.</p><p></p><p>
Provides expanded comprehensive patient care by administering any clinical service programs (for example, immunizations, point-of-care testing) offered by Sam&rsquo;s Club in compliance with State Board of Pharmacy statutes/regulations.</p><p></p><p>
Assists in inventory management by monitoring stock levels, placing orders for supplies, and ensuring that inventory is accurately tracked and maintained.</p><p></p><p>
Collaborates with healthcare professionals to ensure accurate and timely dispensation of medications, providing support and information as needed.</p><p></p><p>
Participates in training and development programs to stay updated on industry standards, new medications, and best practices in pharmacy operations.</p><p></p><p>
Complies with company policies, procedures, and standards of ethics and integrity by implementing related action plans; using the Open Door Policy; and applying these in executing business processes and practices.</p><p></p><p>
Completes work assignments and priorities by using policies, data, and resources; collaborating with managers, co-workers, customers, and other business partners; identifying priorities, deadlines, and expectations; carrying out tasks; communicating progress and information; determining and recommending ways to address improvement opportunities; and adapting to and learning from change, difficulties, and feedback.</p><p></p><p>
Respect the Individual: Embraces differences in people, cultures, ideas, and experiences; creates a workplace where associates feel seen, supported and connected through a culture of belonging; creates opportunities for all associates to thrive and perform; helps to attract the best talent.</p><p></p><p>
Respect the Individual: Works as a team; builds strong and trusting relationships; communicates with impact, energy, and positivity to motivate and influence.</p><p></p><p>
Respect the Individual: Strengthens the team by helping, developing and mentoring others; recognizes others&rsquo; contributions and accomplishments.</p><p></p><p>
Act with Integrity: Maintains and promotes the highest standards of integrity, ethics and compliance, models the Walmart values to support and foster our culture; holds oneself and others accountable; supports Walmart&rsquo;s goal of becoming a regenerative company by making a positive impact for associates, customers, members, and the world around us.</p><p></p><p>
Act with Integrity: Acts in a selfless manner and is consistently humble, self-aware, honest, fair, and transparent.</p><p></p><p>
Serve our Customers and Members: Delivers results while putting the customer first.</p><p></p><p>
Serve our Customers and Members: Makes decisions based reliable information; balances short- and long-term priorities; and considers how own work impacts the team&rsquo;s ability to deliver on our purpose for all stakeholders.</p><p></p><p>
Strive for Excellence: Displays curiosity and a desire to learn; takes calculated risks; and demonstrates courage and resilience.</p><p></p><p>
Strive for Excellence: Drives continuous improvements; is open to and uses new technologies? and skills; and supports others through change.</p><p><br>
At Sam's Club, we offer competitive pay as well as performance-based bonus awards and other great benefits for a happier mind, body, and wallet!</p>
<ul><li><b>Health benefits</b> include medical, vision and dental coverage</li><li><b>Financial benefits</b> include 401(k), stock purchase and company-paid life insurance</li><li><b>Paid time off benefits</b> include PTO, parental leave, family care leave, bereavement, jury duty, and voting. You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable. For information about PTO, see https://one.walmart.com/notices.</li><li><b>Other benefits</b> include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more.</li></ul>
<p>Live Better U is a company paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart.</p>
<p>Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms. For information about benefits and eligibility, see One.Walmart at https://bit.ly/3iOOb1J.</p>
<p>The hourly wage range for this position is $24.50 to $32.50*</p><br>
<ul><li>The actual hourly rate will equal or exceed the required minimum wage applicable to the job location.</li></ul>
<p>Additional compensation in the form of premiums may be paid in amounts ranging from $0.35 per hour to $3.00 per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met.</p><p></p><h2 class="jobSectionHeader"><b>
Minimum Qualifications...</b></h2><p><i>
Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.
</i></p><p></p>Certified Pharmacy Technician.<br>
Prior work experience in pharmacy operations, medication dispensation, inventory management, pharmacy training and development, vaccine administration, or related area<p></p><h2 class="jobSectionHeader"><b>
Preferred Qualifications...</b></h2><p><i>
Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.
</i></p><p></p><h2 class="jobSectionHeader"><b>Primary Location...</b></h2>
4385 VENETUCCI BOULEVARD, COLORADO SPRINGS, CO 80906-4049, United States of America<p></p>
Walmart and its subsidiaries are committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job. This policy applies to all employees and aims to create a safe and productive work environment.</div>

(USA) Clinical Services Pharmacy Technician - Sam’s Club

WVU Medicine

<div><h2 class="jobSectionHeader"><b>Welcome! We&rsquo;re excited you&rsquo;re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you&rsquo;ll find other important information about this position.
</b></h2><p></p>Responsible for securing patient data based upon comprehensive data elements, financial education/counseling, insurance verification, provision of clinical information for pre-certification, authorization and third party claims management. Interviews patient for clinical, financial, and history information and arranges appropriate clinical care. A Clinical Pharmacy Technician will work independently gathering and submitted patient information with oversight of a pharmacist as needed. They will be responsible for performing pharmacy related functions in compliance with departmental policies and procedures that provide optimal pharmaceutical care.
<p></p><p><b>MINIMUM QUALIFICATIONS </b><b>:
</b></p><p><b>EDUCATION, CERTIFICATION, AND/OR LICENSURE:
</b></p><div><div><div><p>1. High school diploma or Equivalent.
</p></div><div><p>2. Must possess current licensure as required by state board where services will be provided:
</p></div><div><p><b>MD: </b>Pharmacy Technician Student Permit or Pharmacy Technician License through Maryland Board of Pharmacy
</p></div><div><p><b>OH: </b>Pharmacy Technician Trainee License or Certified or Registered Pharmacy Technician License through Ohio Board of Pharmacy
</p></div><div><p><b>PA: </b>Pharmacy Technician Trainee or Pharmacy Technician License through the Pennsylvania Board of Pharmacy
</p></div><div><p><b>WV: </b>Pharmacy Technician Trainee or Pharmacy Technician License through West Virginia Board of Pharmacy
</p></div><div><p>3. Nationally Certified Pharmacy Technician through Pharmacy Technician Certification Board (PTCB) or National Healthcareer Association (NHA) <b>OR </b>If applicant has two (2) or more years of pharmacy specific experience , must be obtained within 15 months of hire.<br>
</p></div><div><p><br>
<b>PREFERRED </b><b>QUALIFICATIONS </b><b>:
</b></p></div></div><div><div><p><b>EDUCATION, CERTIFICATION, AND/OR LICENSURE:
</b></p></div><div><p>1. Associates degree <b>OR </b>Post high school education in a science field of study <b>OR </b>graduate of a pharmacy technician training program.
</p></div><div><p>2. Nationally Certified Pharmacy Technician through Pharmacy Technician Certification Board (PTCB) or National Healthcareer Association (NHA) upon hire.
</p></div></div></div><p></p><p><b>CORE DUTIES AND RESPONSIBILITIES: </b>The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.<br>
</p><p></p><p>1. Drafts various correspondence letters and sends to referral source when necessary.
</p><p>2. Gathers and documents patient demographics, insurance information, needs assessment, patient history, and other data as needed.
</p><p>3. Initiates refill/follow up calls and schedules delivery as needed
</p><p>4. Provides information and answers to patient/caregiver questions and refers to clinician when appropriate or requested.
</p><p>5. Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department.
</p><p>6. Contacts insurance company or employer to determine eligibility and benefits for requested services.
</p><p>7. Maintains patient records in a timely and complete manner.
</p><p>8. Assists the pharmacist with the process of filling and labeling the prescriptions.
</p><p>9. Calculates initial measurements for compounds and maintains compounds logs.
</p><p>10. Provides monographs and other required medication guides with each prescription.
</p><p>11. Maintains proper storage of medications (i.e. security, temperature controlled items, etc.).
</p><p>12. Demonstrates the knowledge and skills necessary to communicate to the infant, pediatric, adolescent, adult and/or geriatric patient per the established age-specific education/standard.
</p><p>13. Works with coordinators and manager to develop and attain quarterly objectives.
</p><p>14. Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information.
</p><p>15. Communicates problems hindering workflow to management in a timely manner.
</p><p>16. Assists in the training of pharmacy technicians
</p><p>17. Initiates charge anticipation calculations. Accurately identifies anticipated charges to assure identification of anticipated self-pay portions.
</p><p>18. Certain duties cannot be assigned to Pharmacy Technicians because these duties can only be performed by pharmacists. These restrictions are regulated at state and federal levels and must be followed closely:
</p><ul><li>Only pharmacists can receive oral prescriptions from prescribers or prescribers&rsquo; authorized designees. (This refers primarily to new telephone prescriptions).
</li></ul><ul><li>Only pharmacists can consult with prescribers or prescribers&rsquo; designees about patients&rsquo; prescriptions.
</li></ul><ul><li>Only pharmacists can provide confidential patient information to other health professionals or insurance companies.
</li></ul><ul><li>Only pharmacists can check medications before dispensing them to patients. (In states where technicians can prepare or package prescriptions, they do so under the direct supervision of a pharmacist.)
</li></ul><ul><li>Only pharmacists can consult with patients about prescribed medication use and other health issues.
</li></ul><ul><li>Only pharmacist scan recommend over-the-counter medications.<br>
</li></ul><p></p><p><b>PHYSICAL REQUIREMENTS: </b>The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<br>
</p><p></p><p>1. While performing the duties of this position, the employee is required to walk and stand or sit for long periods of time.
</p><p>2. Must be able to lift 30 pounds and must be able to push 50 pounds.
</p><p>3. Dexterity required to finger, handle, and reach.<br>
</p><p></p><p><b>WORKING ENVIRONMENT: </b>The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<br>
</p><p></p><p><b>SKILLS AND ABILITIES:
</b></p><p></p><p>1. Must be able to use computers and software applications.
</p><p>2. Knowledge of drugs, drugs dosing, side effects, indications, contraindications and proper administration preferred.
</p><p>3. Knowledge of rules, policies and regulations related to the disbursal of pharmaceutical drugs preferred.
</p><p>4. Must be able to work accurately, efficiently, and safely in a fast-paced environment.
</p><p>5. Must be polite and respectful when communicating with staff, physicians, patients and families. Must approach interpersonal relations in a positive manner.
</p><p>6. Must demonstrate flexibility to meet the needs of department or hospital in regard to changes in work volume, planned change, scheduling changes and emergency call-backs (i.e. weather or disaster).
</p><p>7. Must be able to communicate effectively verbally and in writing and place high emphasis on customer service.
</p><p></p><p><b>Additional Job Description:
</b></p><p></p><p><b>Scheduled Weekly Hours:
</b></p>40
<p></p><p><b>Shift:
</b></p>Day (United States of America)
<p></p><p><b>Exempt/Non-Exempt:
</b></p>United States of America (Non-Exempt)
<p></p><p><b>Company:
</b></p>WVUH West Virginia University Hospitals
<p></p><p><b>Cost Center:
</b></p>233 WVUH Specialty Pharmacy
<p></p><p><b>Address:
</b></p>3040 University Ave
<p></p>Morgantown
<p></p>West Virginia
<p></p><p><b>Equal Opportunity Employer<br>
</b></p><p></p><p>West Virginia University Health System and its subsidiaries (collectively &quot;WVUHS&quot;) is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.</p></div>

Clinical Pharmacy Tech II - Pharmacy Prior Authorizations

Cambia Health Solutions

<div><p><b>Pharmacy Services Technician
</b></p><p><b>Work from home Within Oregon, Washington, Idaho or Utah
</b></p><p></p><p><b>Build a career with purpose. Join our </b><b>Cause </b><b>to create a person-focused and economically sustainable health care system.
</b></p><p></p><p><b>Who We Are Looking For:
</b></p><p></p><p>Every day, Cambia's dedicated Pharmacy Services Technician, are living our mission to make health care easier and lives better. As a member of the Pharmacy Operations team, our Pharmacy Services Technician is a corporate-wide technical support resource for pharmacy benefit, reimbursement, and other drug use issues which do not require clinical judgment. This function assists the Clinical Pharmacy Consultants and Pharmacy Services staff with formulary-related operations and other operational processes which require knowledge and experience with pharmaceuticals, all-in service of creating a person-focused health care experience.
</p><p>Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.
</p><p></p><p><b>What You Bring to Cambia:
</b></p><p></p><p><b>Qualifications:
</b></p><ul><li>High school diploma or related certificate and 5 years of experience as a pharmacy services technician in a retail, hospital, or other licensed pharmacy setting, or equivalent combination of education and experience
</li><li>Pharmacy Technician Certificate may substitute for 2 years of experience (reducing requirement to 3 years)
</li></ul><p></p><p><b>Skills and Attributes:
</b></p><ul><li>Knowledge of medical terminology, health care coding systems such as ICD-10, CPT and HCPCS, and HIPAA regulations
</li><li>Knowledge of pharmaceutical products, including orals, injectables, infusion products, and chemotherapy
</li><li>Knowledge of general office practices and procedures, and demonstrated knowledge of grammar and techniques of business practice
</li><li>Ability to interact effectively with a variety of health care professionals, including physicians, nurses, pharmacists, and billing staff both internally and externally, while demonstrating maturity, tact, diplomacy, and persuasiveness
</li><li>Demonstrated ability to perform pharmaceutical pricing calculations and ability to type 30 words per minute, 60 wpm preferred
</li><li>Demonstrated ability to operate a variety of standard business machines including calculators, copiers, and faxes, and basic computer program skills (Word, Excel, etc.)
</li><li>Ability to organize, plan, and prioritize daily workflow and projects within time constraints, and experience with health insurance and/or prescription benefits preferred
</li></ul><p></p><p><b>What You Will Do at Cambia:
</b></p><ul><li>Performs all duties as described unless clinical judgment is required, in which case the Pharmacy Services Technician will seek assistance from appropriate medical personnel who are available for support during normal business hours
</li><li>Responds to non-clinical pharmacy issues from providers, pharmacy services staff, case managers, preauthorization nurses, ENCC personnel, government programs personnel, and customer service, including formulary drug coverage, appeal and reconsideration claim status, and pricing for drug claims
</li><li>Completes daily formulary operational processes, including tracking, processing, and obtaining appropriate documentation for pharmacy medical exception requests, prior authorization requests, reconsiderations, and appeals
</li><li>Prepares reconsideration requests for Clinical Pharmacy Consultant review by obtaining and organizing appropriate documentation, including but not limited to medical chart notes/reports and medication profiles, and communicates information and determinations to providers and members as necessary (orally and by written documentation)
</li><li>Obtains and organizes drug utilization data, including patient specific and population-based data, in a manner which facilitates clinical review and decisions by Clinical Pharmacist Consultants, including sorting drugs into appropriate therapeutic and generic categories
</li><li>Assists with auditing and investigations of medication-related claims, cases, and providers to identify misuse of medications, misuse of resources, substance abuse, and erroneous and fraudulent billing practices, and investigates and organizes workflow for claims referred to Pharmacy Services for review and allowable determination (misc. J codes, providers on review, reconsiderations)
</li><li>Supports wellness and disease state management programs for Pharmacy Service and corporately which contribute to NCQA accreditation and ongoing quality improvement, and contributes to the corporation's quality initiatives through process improvement teams and by encouraging team and individual contributions toward quality improvement efforts
</li></ul><p></p><p><b>#LI &ndash; Remote
</b></p><p></p><p>The expected hiring range for a Pharmacy Services Technician is $20.50 - $26.80 an hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 5%. The current full hourly range for this role is $19.20 - $34.90
</p><p></p><p><b>About Cambia
</b></p><p></p><p>Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
</p><p></p><p><b>Why Join the Cambia Team?
</b></p><p></p><p>At Cambia, you can:
</p><ul><li>Work alongside diverse teams building cutting-edge solutions to transform health care.
</li><li>Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
</li><li>Grow your career with a company committed to helping you succeed.
</li><li>Give back to your community by participating in Cambia-supported outreach programs.
</li><li>Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
</li></ul><p></p><p>We believe a career at Cambia is more than just a paycheck &ndash; and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
</p><p></p><p>In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
</p><p></p><ul><li>Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
</li><li>Annual employer contribution to a health savings account.
</li><li>Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
</li><li>Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
</li><li>Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
</li><li>Award-winning wellness programs that reward you for participation.
</li><li>Employee Assistance Fund for those in need.
</li><li>Commute and parking benefits.</li></ul><p></p><p><br>
</p><p></p><p>We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
</p><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p>We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
</p><p></p><p>If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com . Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy .</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>

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