STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!

Strategic Staffing Solutions is currently looking for a Pharmacy Technician for a contract opportunity with one of our largest clients located in Detroit, MI!

Title: Pharmacy Technician (Call Center/Help Desk)

Location: Detroit, MI (Primarily remote - onsite as needed)

Duration: 6+ Months

Role Type: W2 Contract Engagement

Pay Rate: $18-20/hour

SUMMARY

Department: Pharmacy Help Desk

Support providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorizations.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Answer telephones in an efficient and timely manner to lend appropriate assistance to providers
• Triage prior authorization requests under the supervision of a Clinical Pharmacist.
• Assists in maintaining pharmacy prior authorization criteria used in the adjudication of pharmacy/specialty claims.
• Analyzing written inquiries which lends to entry and updating of pharmacy authorizations into the claims system.
• Communicate coverage determination status to physicians and/or members and effectuate such decisions within the authorization tool.
• Troubleshoot problems, inquiries, and new processing procedures for coverage determinations.
• Assist with internal control systems and regulations compliance.

EDUCATION AND/OR EXPERIENCE

• High School Graduate of GED equivalent required. Two (2) years of college preferred.
• Two (2) years experience in retail or hospital Pharmacy required.
• Pharmacy Technician Certification (PTCB) preferred.
• Knowledge of prescription drug names, therapeutic classes and claims processing.
• Experience with Medicare Part D prescription benefits may be preferred for some positions.

OTHER SKILLS AND ABILITIES

• Expert knowledge of pharmacy claims processing
• Understanding of formularies and utilization management edits
• Familiarity with pharmaceutical manufacturers and product/cost information
• Computer Literate (Microsoft Office Products).

The S3 Difference

The global mission of S3 is to build trusting relationships and deliver solutions that positively impact our customers, our consultants, and our communities. The four pillars of our company are to:

• Set the bar high for what a company should do
• Create jobs
• Offer people an opportunity to succeed and change their station in life
• Improve the communities where we live and work through volunteering and charitable giving

As an S3 employee, you're eligible for a full benefits package that may include:

• Medical Insurance
• Dental Insurance
• Vision Insurance
• 401(k) Plan
• Vacation Package
• Life & Disability Insurance Plans
• Flexible Spending Accounts
• Tuition Reimbursement

Job ID: JOB-236238
Publish Date: 28 Jun 2024