Contract Coverage Determination Professional – Pharmacy Technician
2 weeks ago
We are looking for a skilled Pharmacy Technician to work as a Contract Coverage Determination Technician. In this role, you will be responsible for evaluating prior authorization requests, utilizing pharmacy and PBM systems, and providing critical support to healthcare providers and patients.
The estimated salary for this position is $35,400 - $37,440 per year, based on a 20-hour workweek. The compensation package also includes comprehensive training and opportunities for remote work.
Key Responsibilities:
- Evaluate prior authorization requests for approval or rejection.
- Use pharmacy and PBM systems for efficient data entry and analysis.
- Provide critical support to healthcare providers and patients through accurate and timely determinations.
- Maintain detailed records of authorizations and decisions.
- Learn internal systems to ensure operational excellence.
Requirements
To succeed in this role, you must have experience in hospital, retail, or PBM call center pharmacy environments, familiarity with PA processes, including acceptance or rejection procedures, and reliable high-speed internet and a distraction-free home office setup.
Benefits and Compensation
The compensation package includes a salary range of $35,400 - $37,440 per year and opportunities for remote work.
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