This position is responsible for providing clinical and clerical support to the Director of Pharmacy Services by processing prescription authorization requests per Oregon Health Plan (OHP) and Medicare guidelines by performing the following duties
* Enters Prior Authorization (PA) requests into PBM software program.
* Requests chart notes to facilitate coverage determination when a prescriber has written a prescription for non-formulary medication.
* Generates and mails notice of action letters to members whose prescription coverage is denied within contracted time frame.
* Identifies members that need prenatal care and reports them to the Case Management Department.
* Terminates members in PBM software program.
* Provides tobacco cessation programs for members and public as directed.
* Provides support to diabetic members through dispensing of meters, lancets, syringes, and strips.
* Maintains confidentiality and complies with HIPAA rules and regulations.
* Maintains punctual, regular and predictable attendance.
* Works collaboratively in a team environment with a spirit of cooperation.
* Displays excellent communication skills including presentation, persuasion, and negotiation skills required in working with members and coworkers and including the ability to communicate effectively and remain calm and courteous under pressure.
* Respectfully takes direction from manager.
*EDUCATION and/or EXPERIENCE*
High school diploma or general education degree (GED); and two or more years related experience and/or training working as a licensed pharmacy technician.
*CERTIFICATES, LICENSES, REGISTRATIONS*
National Certification as a Pharmacy Technician and Oregon Pharmacy Technician License are required.
We provide a competitive salary and excellent benefits, including vacation, medical, dental and vision insurance, and 401(k) pension plan.
To apply for this position, please submit a cover letter and resume.
We are an Equal Opportunity Employer.
Job Type: Full-time
Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Employee assistance program
* Flexible spending account
* Health insurance
* Life insurance
* Paid time off
* Professional development assistance
* Retirement plan
* Tuition reimbursement
* Vision insurance
Schedule:
* Day shift
* Holidays
* Monday to Friday
* Weekends as needed
Work Location: In person
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