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GENERAL SUMMARY OF POSITION: 

Under the direct supervision of the Director or designee, the Pharmacy Associate II functions as a team member of the outreach programs within Clinical Pharmacy Services (CPS).  CPS is responsible for administering client-specific programs to provide clinical expertise with regard to member prescriptions. This position will handle live calls to members and occasionally, physicians and pharmacists, to provide information regarding client initiatives.  The incumbent of this position may work on other client initiatives including prior authorization and medication therapy management (MTM) work under the guidance of a licensed pharmacist.

The hours for this position will be from 12:30pm - 9:00pm.

We are willing to consider candidates who are able to work either part-time or full-time. 

MAJOR RESPONSIBILITIES:

• Review clinical documentation against applicable criteria submitted by physicians and pharmacists to determine approval or denial of request for prior authorization.
• Assist CPS staff with data entry and monitoring/researching member profiles for prior authorization requests and ad hoc reports.
• Assist CPS consultant pharmacist with obtaining and disseminating information concerning upcoming appeals.
• May provide guidance to Pharmacy Associate I in performance of duties
• Participate in orientation of Pharmacy Associate I staff members.
• May provide real time information via telephone to physicians and pharmacists regarding questions concerning initiatives involving member prescriptions.
• May decide in real time via telephone communications with pharmacies, the authorization or denial of certification requests for prescription medications.
• Participate in quality improvement initiatives within CPS.
• Attend CPS staff meetings and in-service programs as requested.
• Perform other duties as required.

REQUIRED QUALIFICATIONS:

Certification with 1 year pharmacy experience or 2 years pharmacy or drug utilization review experience

PREFERRED QUALIFICATIONS:

• Bilingual, Spanish strongly preferred
• Prior customer service experience

SUPERVISION RECEIVED:

Under the direct supervision of the Director or designee

ENVIRONMENTAL WORKING CONDITIONS:

Usual office environment