Authorization Coordinator - Part Time

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Requirements:

• High School Diploma Required
• Current Registered Pharmacy Technician Required
• Previous experience with Prior Authorizations, Formulary Exemptions and Utilization Management Required
• 2 years of experience working in a pharmacy or other healthcare setting Required
• Excellent MS Office skills, including Word, Excel, PowerPoint and Excel Required
• Previous experience working in prior authorization - Preferred
• Ability to travel 10% as needed

Responsibilities:

• Facilitate effective operational workflow while performing complete, accurate and consistent reviews of all formulary exception medication or product requests; including review of appropriate labs and supporting documentation against pharmacy clinical criteria/ guideline, which involves referral/escalation of requests, when appropriate, to clinical experts with appropriate recommendations.
• Utilize appropriate approval and denial language on approval and denial messages and provide alternatives based on clinical guidelines.
• Maintain on-going communication with facility teammates, resolve technical processing issues, and escalate all outstanding issues including drafting written responses, correspondence, emails, and spreadsheets as needed.
• Ensure that current and accurate communication with facility teammates occurs in a clear, timely and concise manner.
• Assist with special projects as assigned by Clinical Operations management or its partners