Certified Pharmacy Technician

Job Description

Description: Evaluates, authorizes approval, and communicates decisions for prior authorization pharmacy requests according to clinical guidelines.

63550

Fundamental Components: Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. Determines appropriateness for medications. Communicates decision to physicians, physician’s office staff, medical management staff, and/or pharmacists. Communicates selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians, physician’s office staff, medical management staff, and/or pharmacists. Researches, resolves, and documents prior authorization outcomes in the pharmacy system. Escalates requests to Pharmacist when request requires extensive clinical review or denial. Researches, resolves, and documents physician or client inquiries and grievances. Provides verbal or written results to client, prescriber, provider, and/or management. Performs other duties as required. Background Experience: Excellent verbal and written communication skills.Experience with Windows-based software applications.Ability to follow clinical criteria and instructionsProficiency in computerized pharmacy systems and software applications required.6 months experience in retail, hospital, or facility pharmacy setting required. Pharmacy Technician Certification or License.High School Diploma or equivalent. Percent of Travel Required: 0 - 10% EEO Statement: Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility: Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Candidate Privacy Information: Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.