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Pharmacy Technician – Utilization Management
Navitus Health SolutionsPharmacy Technician managing non-clinical work related to prior authorizations at Archimedes. Focus on high cost case management and documentation support for policy adherence.
About the role
Key responsibilities & impact- Develop and deliver follow up messages to physicians and members related to prior authorization and high cost case management case documentation
- Manage queues for pharmacy technician related work for prior authorization, high cost cases, claims editing and clinical policy processes
- Perform prior authorization case management related to administrative denial and low-clinical acuity cases as identified by clinical policies and guidelines.
Requirements
What you’ll need- Licensed Pharmacy Technician
- 2 years managed care experience
- Microsoft Excel, Power Point and Word proficiency
Benefits
Comp & perks- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
prior authorization case managementclaims editingclinical policy processescase documentationhigh cost case management
Certifications
Licensed Pharmacy Technician