Meridian

  • Pharmacy Technician - Weekends

    Job Location US-MI-Troy
    Job ID
    2018-5591
    Category
    Pharmacy
    Business Line
    MRx
  • Overview

    Who we are: 

     

    MeridianRx is a full-service Pharmacy Benefit Manager (PBM) committed to driving down costs and elevating quality. Our clients experience better quality outcomes, thanks to effective clinical support, patient education, and specialty pharmacy programs.  

     

    We work with a diverse range of clients, from members to healthcare providers to plan administrators. MeridianRx services clients across the country and our network continues to grow.   

     

    Our employees work hard, play hard, and give back. MeridianRx employees enjoy: Happy hours, special events, company sports teams, potlucks, Bagel Fridays, and volunteer opportunities. 

     

     

    A Day in the Life of a Pharmacy Technician:

     

    This position is responsible for providing operational support for the MeridianRx pharmacy department.  This includes responding to internal and external requests for assistance with authorizations, medication profiles and other clinical pharmacy processes.  This position will also coordinate activities and provide oversight of the Pharmacy Benefits Manager (PBM).

     

    Please note: must be willing and able to work weekends: Saturday, Sunday and Monday - 8AM - 8PM

    Responsibilities

    • Assist the client’s providers with obtaining clinically appropriate medications for the client’s members via the prior authorization process
    • Ensure accurate data entry and tracking of provider requests
    • Enter Prior Authorizations from the fax queue in PBM & MCS
    • Answer incoming calls from providers, members and pharmacies
    • Collaborate with the client’s existing utilization review, case management, and member services staff to ensure appropriate resource allocation and utilization by all members
    • Assist in resolution of the client’s member issues related to pharmacy prescriptions
    • Act as a liaison between MeridianRx, providers and the client
    • Provide support to the clients clinical and non-clinical departments to determine needs, resolve problems, improve processes and promote effective drug therapy
    • Assist with working up authorizations that are in pharmacy review
    • Deny Prior Authorizations based on benefit denial criteria
    • Review and approve denial and appeal letters
    • Must consistently meet or exceed production expectations as set by department leadership
    • Have knowledge of commonly-used concepts, practices and procedures within pharmacy operations
    • Provide excellent customer service to all callers, at all times
    • Perform assigned tasks according to established guidelines
    • Ensure compliance with all company, state and federal rules and regulations
    • Contact prescribers concerning prescription drug order clarification, which does not include drug regimen review or clinical or therapeutic interpretation
    • May be required to work holidays and/or observed holidays as requested by leadership
    • Perform other duties as assigned

    Qualifications

    What you can bring to Meridian:

    • Bachelor’s degree or Fellow designation from the Academy for Healthcare Management (AHM) is preferred 
    • Registered Pharmacy Technician who has successfully completed a Certified Pharmacy Technician training program is required
    • Nationally Recognized Certification and full license in applicable state is required. Limited and temporary licensures are not acceptable
    • License and certification must be in good standing
    • Two to five years of related experience and/or training in pharmacy prior authorization and pharmacy technician processes in a managed care setting is required.
    • Expert knowledge of drug products, dosage forms and usage, as well as retail pharmacy operations is preferred
    • Knowledge of medical and pharmaceutical terminology
    • Knowledge of managed care and authorization processes
    • Knowledge and/or experience in work teams

    What MeridianRx can offer you: 

     

    • Healthcare benefits that include a variety of plans, which are effective on the first day of employment for our new full-time team members.   
    • Opportunity to work with the industry’s leading technologies and participate in unique projects, demonstrations, conferences, and exclusive learning opportunities.  
    • 401k matching that is above the national average.   
    • Full-time MeridianRx employees are eligible for tuition reimbursement towards Bachelor’s or graduate degrees.  
    • A bright and engaging company culture; the Meridian family of companies has been recognized as one of Metro Detroit’s Best and Brightest Companies to Work For 5 years in a row.   

     

    Equal Opportunity Employer 

    #MSTR 

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