Pharmacy Technician I

Duties Reporting directly to the Supervisor, Prior Authorization Technicians, the Prior Authorization Technician I processes prior authorization requests received from providers, members, and pharmacies, including requests for high cost and specialty medications. Essential Functions Interprets and applies clinical criteria during the prior authorization review process and approves requests if applicable.Utilizes member claims history during the prior authorization review process.Makes outbound c

Shift Shift Schedule: Monday through Friday 10:00 AM to 6:30 PM with a possible Sat rotation if business needs dictate.The shift time may be subject to change based on business needs. Duties As a licensed healthcare professional employed in the Prior Authorization Department the primary responsibility of Pharmacist (R) is to make determinations on prior authorization requests for coverage of pharmaceutical products.Determinations include medical necessity and benefit decisions.Decisions are made