Position Purpose: Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients
Under the direction of Pharmacy Technician, track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required.
Enter and document coverage determination request decision into the PBM system and notify providers and/or members.
Respond to client inquiries regarding authorization approvals and PBM on-line applications.
Refer coverage determination requests for specialty drugs to delegated vendor or client for processing.
Notify physicians, providers and members of coverage determination request decisions.
Must have CA Pharmacy Technician license
We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.