HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

• Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required

• Obtain verbal authorizations and request detailed clinical information from prescribers

• Approve coverage determination requests based on defined criteria

• Enter and document coverage determination request decision into the PBM system and notify providers and/or members

• Respond to client inquiries regarding authorization approvals and PBM on-line applications

• Refer coverage determination requests for specialty drugs to delegated vendor or client for processing

• Contact providers for additional information to facilitate coverage determination reviews

• Notify physicians, providers and members of coverage determination request decisions

• Certified Pharm tech (CPhT)

• Nationally Certified Pharm Tech ( PTCB)

• 2+ year retail, hospital, or mail order experience

• PBM or prior authorization experience preferred BUT not required

• Shift can be anywhere from 5am-7pm Monday-Friday (Have to be available to work one Saturday shift)

• Pay $ 14.00 - $ 15.00 per hour  

• Excellent benefits offered