Pharmacy Technician I/Data Coordinator at Partnership HealthPlan of California

Fairfield, California, United States -

Full Time

Start Date

Immediate

Expiry Date

29 Aug, 26

Salary

34.0

Posted On

31 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Treatment Authorization Requests (TAR), Data Entry, Eligibility Investigation, Benefit Investigation, PARx, Pharmacy Benefit Management, Customer Service, Data Extraction, Administrative Support, Windows Applications, Database Applications, Typing (40 wpm), Medi-Cal Knowledge, Pharmacy Technician Licensing

Industry

Insurance

Description

Overview To begin Treatment Authorization Requests (TAR) reviews and perform data entry upon TAR determination by pharmacy staff. Performs eligibility and benefit investigations. Supports pharmacy department with extracting and collecting data for reporting needs. Supports department's administrative needs, and participates in special projects as assigned by pharmacy technician lead, supervisor, and departmental staff. Responsibilities Performs eligibility and benefit investigation to support TAR production. Enters data into PARx upon TAR determination by pharmacy team. Prioritizes, manages, and completes TAR assigned by Pharmacy Technician Lead and Supervisor. Supports the department's administrative needs including data processing and extraction, distribution of pharmacy manual and formulary to members and providers, preparation of meeting packets for P&T, and other pharmacy department meetings. Interacts and responds to providers (pharmacy and prescribers) member service inquiries regarding pharmacy benefits, billing procedures, Coordination of Benefits, and general pharmacy issues. Participates in special projects, assignments, and other tasks as needed. Other duties as assigned. Qualifications Education and Experience High school diploma or equivalent, plus 2-3 years of college, technical school, or business school; related experience in managed care, hospital, or retail pharmacy. Special Skills, Licenses and Certifications Experience with Windows and related applications and familiarity with data base applications. Knowledge of California Medi-Cal program and benefits, TAR policies and regulations as defined by Partnership and DHCS. Typing speed of 40 wpm and knowledge of general business office machine operations. Valid California Pharmacy Technician license required or must be obtained within six (6) months of hire. Performance Based Competencies Must be able to work in a fast paced environment and maintain courtesy and composure when dealing with internal and external customers. Ability to prioritize work to ensure daily timeliness is met. Work Environment And Physical Demands More than 70% of work time is spent using a computer and telephone. When required, the ability to lift, carry, or move objects of varying size, weighing up to 25 lbs. Must be able to work in a fast-paced environment and maintain courtesy and composure. Ability to function effectively with frequent interruptions and multiple competing deadlines. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated. HIRING RANGE: $28.94 - $34.00 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

Responsibilities

Perform eligibility and benefit investigations to support Treatment Authorization Requests (TAR) and enter determinations into the PARx system. Provide administrative support for the pharmacy department, including data extraction and responding to provider and member inquiries.