Temporary- Managed Care Pharmacy Technician

Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people, quality, innovation, and community, and its corporate culture supports those values wholeheartedly. CDPHP is committed to fostering a culture of belonging and takes a wholistic approach to diversity, equity, and inclusion. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.

Under the direct supervision of a licensed pharmacist, the Managed Care Pharmacy Technician (Pharmacy Tech) is responsible for administering CDPHP member and client-specific programs aimed at optimizing pharmacy benefits and the prescription process. This position will handle live calls to members as well as physicians and pharmacists, to provide information regarding pharmacy benefits, formulary coverage and CDPHP initiatives. The pharmacy tech will support initiatives including prior authorization work under the guidance of a licensed pharmacist. The pharmacy tech is responsible for implementing and monitoring the technical aspects of pharmacy benefits including the processing of medical exception requests using approved clinical algorithms, advising on pharmacy matters from internal and external sources, as well as additional ad hoc project work which supports the pharmacy department. The pharmacy tech will participate in an on-call/holiday rotation along with a utilization management pharmacist to support Plan members in after hour pharmacy issues.

Qualifications:

• High school diploma with a minimum of two years' experience in health-related field is required. Associates degree preferred.

• Pharmacy Technician certification (CPhT), LPN, Medical Assistant/Technologist background
  strongly preferred.

• Basic understanding and interpretation of medical terminology and diagnosis codes required.

• Basic understanding of drug classes and therapeutic interchange as described in the drug
  policies.

• A clear understanding of prescription and medical benefits as it applies to the utilization review
  process.

• Must demonstrate proficient experience with the Microsoft Office suite.

• Strong verbal and written communication skills are required.

• Must possess a high degree of professionalism, strong work ethic and the ability to maintain a
  positive attitude when working with internal and external customers.

• Must be conscientious, efficient and accurate in prior authorization, exception and medical/Rx
  necessity review processing.

• Continually strive to develop and/or refine skills necessary to respond to customers.

• Must possess strong customer service orientation and the ability to interface effectively with
  internal and external customers.

• Capable of working independently and applying problem solving and analytical abilities

• Ability to cover rotating on-call responsibilities, as well as a late shift on Fridays

• Ability to work additional hours as needed in order to meet turnaround time responsibilities.

As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices on the basis of race, color, creed, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, protected veterans status, or any other characteristics protected under applicable law. To that end, all qualified applicants will receive consideration for employment without regard to any such protected status.

CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC.