Clinical Pharmacy Technician II at Magellan Health in Maryland Heights, Missouri

Job Description:

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. Researches, resolves and documents prior authorization outcomes in pharmacy system.


• Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.


• Escalates requests to Pharmacist when request requires extensive clinical review or denial.


• Monitors telephone system to ensure adequate staffing to maintain client services levels.


• Assesses training needs within the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.


• Demonstrates, advocates and reinforces a positive team environment.


• Other duties as assigned.

Other Job Requirements

Responsibilities

Minimum two years dispensing or retail experience required, or equivalent internal training will be substituted.

General Job Information

Title
Clinical Pharmacy Technician II

Grade
18

Work Experience
Pharmacy

Education
GED (Required), High School (Required)

License and Certifications - Required
CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy

License and Certifications - Preferred

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.