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TECH - PHARMACY - (9623)

Universal Health Services


Location:
GB, PR
Date:
11/21/2017
2017-11-212017-12-20
Job Code:
9623
Universal Health Services
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Job Details

Deltek Talent Management - TECH - PHARMACY - (9623)

Job Details


TECH - PHARMACY - (9623)

Facility Name
FHC of PR, Inc.
Location
GB PR
GUAYNABO, PR GUAYNABO US (Primary)
Career Area
Support & Entry Level
Category
Pharmacy
Job Description

:Provide orientation to members, providers and pharmacies about the pharmacy benefit available in their coverage. Facilitate customer access to their services.  Assist the pharmacies in the prior-authorization process and drug processing. Also, ensure the resolution of the case evaluation within the clinical guidelines parameters and industry timeframe.  Provide member advising for the HEDIS measures as assigned by the client.:

Job Requirements

::

  1. Conduct initial clinical review for drug utilization management requests using the established clinical review criteria.

  2. Refer cases to clinical pharmacist to perform medical interventions; when identifies that those do not meet the criteria review criteria or have a potential denial.

  3. Facilitates and guides providers, patients and families on the pharmacy benefits available.

  4. Complete and / or modifies in all their parts the pre-authorization of drugs via fax or phone.

  5. Assist to participating pharmacies in the drug claim processing.

  6. Contact prescriber / pharmacy when identifies cases with lack of information to be evaluated.

  7. Meets with the quality indicators established for Pharmacy Program.

  8. Provide member advising for the HEDIS measures as assigned by the client.

  9. Provides support on special projects for the Pharmacy Program as needed.

  10. Maintain her current licenses, as applicable to their specialty.

Minimal Requirements:

Associated degree in Pharmacy Technician

License:  Active Certified Pharmacy Technician practice the profession in Puerto Rico to conduct drug utilization review

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