Pharmacy Benefit Technician | Pharmacy Benefit

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
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Facility: Cherapa Place Building

Location: Sioux Falls, SD

Address: 300 N Cherapa Pl, Sioux Falls, SD 57103, USA

Shift: 8 Hours - Day Shifts

Job Schedule: Full time

Weekly Hours: 40.00

Job Summary

Responsible for following policies and procedures set within the pharmacy department to ensure that Members obtain appropriate medications in a timely, cost-effective, and efficient manner. Requires use of and proficiency in multiple computer programs as well as excellent customer service and communication skills. This job involves a significant amount of time on the telephone handling calls from Members, pharmacies, and providers concerning pharmacy issues such as coverage, prior authorization, step therapy, networks, and overrides. Review incoming faxes and contact provider's office, pharmacy, prior authorization department, or Member (depending on where the fax originates) to clarify the intent of the fax and identify any potential missing information. Enter prior authorization and formulary exception requests into referral form. Review Plan policy to determine which requests need to be sent on the clinical pharmacist team for review. Serve as a liaison with our Pharmacy Benefit Manager (OptumRX) in regards to pharmaceutical questions or issues that arise. Serve as a resource for other departments within the health plan.

Qualifications

Pharmacy technicians must have a minimum of a high school diploma or equivalent.
Experience with inpatient and ambulatory utilization, as well as a broad knowledge of pharmacy practice is preferred, but not required. Familiarity with computers and ability to work with multiple programs at the same time is required. The ability to work with multiple software programs concurrently allows a Pharmacy Benefits Technician to deliver the most accurate information to the Member or provider in a timely fashion. Must have excellent oral and auditory skills for productive interoffice dialogue and Member or provider interactions. Will be required to complete a typing test with a score no less than 40 words per minute.
Must be nationally certified (CPhT designation), either through the Pharmacy Technician Certification Board (PTCB) or the National Healthcare Association (NHA).
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

Job Function: Health Plan

Req Number: R-34239

Featured: No