Utilization Management Pharmacy Technician - Bakersfield California

Company: VirtualVocations
Location: Bakersfield, California
Posted On: 09/14/2024

A company is looking for a Utilization Management Support Technician.



Key Responsibilities

Facilitate utilization management requests for coverage and enter authorizations into the claims platform
Support members in specialty management programs and coordinate prior authorizations
Make outbound calls to provider offices to obtain missing clinical information for UM cases


Required Qualifications and Education

Associate's or Bachelor's degree preferred
1-2 years of experience in a pharmacy technician role within a PBM or similar managed care setting
Active Certified Pharmacy Technician (CPhT) certification
Knowledge of pharmacy claims adjudication and benefit designs/terminology
Experience in a mail order or specialty pharmacy is a plus More...

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