To begin Treatment Authorization Requests (TAR) reviews and perform data entry upon TAR
receipt or determination by pharmacy staff. Performs eligibility and benefit investigations.
Supports pharmacy department with extracting and collecting data for reporting needs. Supports
department's administrative needs and participates in special projects as assigned by pharmacy
technician lead, supervisor, and departmental staff.
Essential Duties and Responsibilities
▪ Performs eligibility and benefit investigation to support TAR production.
▪ Enters data into Partnership Systems upon TAR determination by pharmacy team.
▪ Prioritizes, manages, and completes TAR assigned by Pharmacy Technician Lead and
Supervisor.
▪ Supports the department's administrative needs including data processing and extraction,
distribution of pharmacy manual and formulary to members and providers, preparation of
meeting packets for P&T, and other pharmacy department meetings.
▪ Interacts and responds to providers (pharmacy and prescribers) member service inquiries
regarding pharmacy benefits, billing procedures, Coordination of Benefits, and general
pharmacy issues.
▪ Participates in special projects, assignments, and other tasks as needed.
▪ Other duties as assigned.
Education and Experience | High school diploma or equivalent, plus 2-3 years of college, technical school, or business school; related experience in managed care, hospital, or retail pharmacy.
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Special Skills, Licenses and Certifications | Experience with Windows and related applications and familiarity with
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Performance Based Competencies | Must be able to work in a fast paced environment and maintain
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Work Environment And Physical Demands | More than 70% of work time is spent using a computer and telephone. |
All HealthPlan employees are expected to:
HIRING RANGE:
$29.95 - $35.19
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
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