Pharmacy Technician – Level 1

🕒 April 13

🦌 Connecticut, New Jersey, +1 more states – Remote

🦌 Connecticut – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote

💵 $47.4k - $64.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💊 Pharmacist

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Healthfirst

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1993

⚕️ Healthcare Insurance

💸 Finance

Healthcare Insurance • Finance • Medicare

Healthfirst is a health insurance provider dedicated to helping New Yorkers access affordable health coverage for individuals and families. With over 30 years of experience, Healthfirst offers a range of plans including Medicaid managed care, Medicare Advantage, long-term care, and essential health plans. The company focuses on providing quality healthcare options, comprehensive benefits, and support to ensure members can maintain their health and well-being.

📋 Description

• Reviews prior authorization requests and units for medications requested under the medical benefit • Assesses provider-submitted clinical information for clinical appropriateness based on predetermined clinical criteria • Sends notification to members and providers of authorization decisions via telephone, fax, or mail • Ensures prior authorization reviews are conducted within timeframes set forth by CMS and/or NYSDOH • Establishes great rapport with Provider offices via telephonic communication • Sends request for information sheets to Providers • Ensures that patient information is shared appropriately maintaining confidentiality and compliance with federal law and HIPAA regulations

🎯 Requirements

• High School Diploma or GED from an accredited institution • Either nationally certified Pharmacy Technician in good standing (i.e., PTCB, NHA) or registered or licensed Pharmacy Technician in good standing • Experience conducting prior authorization reviews • Experience requiring written, verbal, and telephonic communication in English that is clear, concise, grammatically correct, and professional.

🏖️ Benefits

• medical, dental and vision coverage • incentive and recognition programs • life insurance • 401k contributions