Primary City/State:
Arizona, Arizona
Department Name:
Pharm Benefits Mgmt-Misc
Work Shift:
Day
Job Category:
Pharmacy
UP TO A $5,000 SIGN ON BONUS AVAILABLE
Pharmacy careers are better at Banner Health. We are committed to developing the careers of our team members. We care about you, your career today and your future. If you’re looking to leverage your abilities – apply today.
As a Senior Population Health Pharmacy Technician you will be responsible for processing pharmacy prior authorization (PA) requests, supporting the internal and external customers of the Health Plan by addressing issues pertaining to pharmacy and providing pharmacy data, as well as performing ad hoc reporting on pharmacy claims data. Previous pharmacy benefit management, health plan, and/or prior authorization experience is required for this role. This is a remote, full-time position working five, 8-hour shifts between 8AM - 5PM, Monday through Friday. Some weekend and on-call rotation is required and divided amongst the team. You must reside in Arizona to be considered for this role.
Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits.
Banner Pharmacy Services is a recognized leader in healthcare and trusted partner in proactively providing innovative pharmacy services through excellence in integration, care coordination, medication management and services to make a difference in people's lives. Clinical Pharmacy Services is responsible for the management of the Banner formulary, development of standardized system wide clinical pharmacy services, and management of adverse drug event preventions. Clinical Pharmacy Services provides collaborative drug therapy management and educational interventions in patient care to optimize medication therapy, improve outcomes, promote wellness, and disease prevention. As a division, Banner Pharmacy services provides excellent patient care across our entire continuum through convenient access, improved medication outcomes and innovative pharmacy practices.
POSITION SUMMARY
This position provides support to a team of clinical pharmacists in population health management. The technician will work under the supervision of clinical pharmacists. Primary responsibilities include pre-screening and support functions for Medication Therapy Management and Prior Authorizations. Other support functions include data gathering and entry, electronic document filing and electronic faxing. Additional responsibilities may include scripted phone calls to patients and/or physician offices.
CORE FUNCTIONS
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Inputs and maintains data and documents in multiple software application types, both in-house and vended software products. Processes all assigned data sets with the specifications of existing workflows. Using programs to include, but not limited to, SharePoint, Word, Excel, Visio, Acuity, and Fortis. Adheres to all documentation standards to ensure relevant information within assigned work areas is retrievable.
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Communicates with health plan members, pharmacists, pharmacy staff, physicians, care managers, and other members of the healthcare team to promote successful medication use and improve quality, as measured by CMS HEDIS and NCQA, AHCCCS, or other regulatory body. Communicates with clarity and professionalism in all settings.
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Researches and evaluates clinical data as necessary for pharmacist review and complete a prior authorization or other utilization management function, contact members regarding pharmacotherapy optimization, or conduct prescriber outreach initiatives. This includes work within Microsoft excel, faxing, and/or calling members of the healthcare team. Conducts all data collection and communication in a timely manner consistent with maintain service levels.
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Maintains proficiency in the pharmacy standards and workflows within the assigned area. Follows all applicable policies, procedures, and desktop procedures and recommends process improvements as necessary. Collaborates with other team members and network providers to ensure that members have a positive customer service experience.
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Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on business goal attainment. Customers include patients, pharmacists, providers, non-physician providers, other health care team members, health plan representatives and medical office staff for the purpose of integrating services, improving patient care and ensuring effective communication systems.
MINIMUM QUALIFICATIONS
Requires pharmacy technician licensure in the state of practice (where applicable). Pharmacy technician certification required.
Incumbents in Arizona are also required to provide the AZ Board of Pharmacy Wallet Card at time of hire.
Must demonstrate 2 or more years of experience performing pharmacy technician duties in a pharmacy setting with managed care emphasis preferably within a healthcare organization or retail pharmacy. Must have good written and verbal communication skills for interfacing with all levels of staff, physicians, patients and other contacts. Must have the ability to learn and master various software programs necessary for job functions.
Communication skills to interface with all levels of staff. Prioritize tasks in complex environment. Knowledge of computer software systems.
PREFERRED QUALIFICATIONS
Call center experience.
Additional related education and/or experience preferred.
EEO Statement:
EEO/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)
Our organization supports a drug-free work environment.
Privacy Policy:
Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)
EOE/Female/Minority/Disability/Veterans
Banner Health supports a drug-free work environment.
Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability
