|Job type||Full Time|
The Certified Pharmacy Technician (CPT) position is a dynamic position responsible for the intake and review of prior authorization requests for medications requested under the medical benefit. The CPT is responsible for approval decisions/denial recommendations based on predetermined clinical criteria, updates to units requested, decision notification for members and providers, establishing good rapport with Provider offices, strong communication and customer service skills. The CPT position is part of multidisciplinary team and will work closely with Providers, Pharmacists, and Medical Directors.
Duties & Responsibilities:
Regulatory or Compliance activities:
Assists in regulatory and compliance audits for all plans. Ensure all activities are conducted in compliance with regulations.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.
EEO Law Poster and Supplement
All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.