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Pharmacy Tech- Call Center

CVS Health

Location: Tampa, Florida
Type: Non-Remote
Posted on: October 4, 2020
This job is no longer available from the source.
Pharmacy Tech- Call Center
CVS Health
25,229 reviews
-
Tampa, FL
CVS Health
25,229 reviews
Read what people are saying about working here.
• Evaluates, authorizes approval, and communicates decisions for prior authorization pharmacy requests according to clinical guidelines.
Fundamental Components
• Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
• Determines appropriateness for medications.
• Communicates decision to physicians, physician’s office staff, medical management staff, and/or pharmacists.
• Communicates selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians, physician’s office staff, medical management staff, and/or pharmacists.
• Researches, resolves, and documents prior authorization outcomes in the pharmacy system.
• Escalates requests to Pharmacist when request requires extensive clinical review or denial.
• Researches, resolves, and documents physician or client inquiries and grievances.
• Provides verbal or written results to client, prescriber, provider, and/or management.
• Performs other duties as required.
Background Experience
• Excellent verbal and written communication skills.
• Experience with Windows-based software applications.
• Ability to follow clinical criteria and instructions.
• Proficiency in computerized pharmacy systems and software applications required.6 months experience in retail, hospital, or facility pharmacy setting required.
• Pharmacy Technician Certification or License.
• High School Diploma or equivalent.
Education
High School diploma, G.E.D. or equivalent experience
Percent of Travel Required
0 - 10%
Business Overview
Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.