POSITION SUMMARY: 

Under the direct supervision of the Director or designee, the Pharmacy Associate II will function as a team member for the client programs within Clinical Pharmacy Services (CPS). CPS is responsible for administering client specific programs to provide clinical expertise regarding our member’s medications. This position will handle calls to and from members, prescribers and pharmacists, as well as provide and obtain information regarding client specific initiatives. The incumbent of this position will also assist in the sorting and review of medication prior authorization requests, under the guidance of a licensed pharmacist.

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

ESSENTIAL FUNCTIONS:

• 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:

• High School Diploma
• Certification with 1 year pharmacy experience or 2 years pharmacy or drug utilization review experience

PREFERRED QUALIFICATIONS:

• Bilingual, Spanish preferred
• Effective Communication and Interpersonal Skills
• Attention to detail and organization
• Adaptability to change tasks when production needs change
• Ability to work well in a team
• Dependability
• Computer Skills  - Basic understanding of Word, Excel, Outlook