The pharmacy technician will assist in providing pharmacy services. Other related skills may be required to perform this job.

Engagement Description – PA Specialist in Pt B Pharmacy will support providers (physicians and other healthcare providers rendering medical care) with Medicare Part B drug coverage inquiries, and prior authorizations.

Top 3 Required Skills/Experience –

• 2-4 years Specialty and/or Retail Pharmacy

• Experience in provider/member call center or helpdesk

• Process prior authorization requests

Required Skills/Experience – The rest of the required skills/experience. Include:

• Knowledge of specialty prescription drug names, NDC drug codes, therapeutic classes and claims processing preferred

• Call Center or Helpdesk experience. Ability to communicate effectively with providers and members.

• Analyzing written, faxed, and verbal inquiries which may lead to entry of medical authorizations into the online provider facing webtool.

Preferred Skills/Experience – Optional but preferred skills/experience. Include:

• Prior Authorization on Pt B specialty medications

• Knowledge or pricing NOC drugs

• Familiarity with Medicare Guidelines and Timeframes

• Knowledge of pharmacy and/or medical claims processing

• Proficient in Microsoft Office Products

Education/Certifications – Include:

• High School Graduate of GED equivalent required. Two (2) years of college preferred.

• Pharmacy Technician Certification (PTCB) preferred

Category Analyst

Function Information Technology

Req ID JN -112024-121713