Pharmacy Technician, Utilization Management - Archimedes

Overview

Archimedes is a specialty drug management company with an industry-leading technology platform that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a professional with specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a person who can grow with the company.

Responsibilities

• Develop and deliver follow up messages to physicians and members related to prior authorization and high cost case management case documentation
• Manage and act as primary point of contact for all high cost management and retroactive drug utilization cases, related to coordination of outbound physician notification and inbound case documentation.
• Manage queues for pharmacy technician related work for prior authorization, high cost cases, claims editing and clinical policy processes
• Perform prior authorization case management related to administrative denial and low-clinical acuity cases as identified by clinical policies and guidelines.

Qualifications

• Licensed Pharmacy Technician
• Benefit knowledge and experience
• Independent, proactive, forward-thinking, creative problem solver, results-oriented
• Strong attention to detail and quality
• Ability to work on multiple projects simultaneously under pressure with strict timelines
• Ability to work well in team environment
• Strong verbal/written communication skills
• 2 years managed care experience
• Microsoft Excel, Power Point and Word proficiency