G-TECH Jobs

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G-TECH Services, Inc. Prior Authorization Specialist in Detroit, Michigan

Engagement Description – Pharmacy technician will work in a provider call center with pharmacy services intaking requests for prior authorizations and handling inquiries related to general utilization management claims rejections.

Top 3 Required Skills/Experience –

• Excellent knowledge of pharmacy benefit drugs and utilization management

• Excellent computer skills utilizing web-based applications and windows 10

• Ability to professionally service provider calls in a call center environment

Required Skills/Experience – The rest of the required skills/experience. Include:

• Excellent written and verbal communication skills

• Ability to problem solve and resolve issues referencing desk level procedures

• Comfort with ambiguity in an area where processes and procedures are updated on a daily basis

• Attention to detail to ensure adherence to NCQA standards and time frames

Preferred Skills/Experience –

• Prior Health plan experience a plus

• Specialty pharmacy experience a plus

• Medical benefit drug billing and utilization management experience a plus

Education/Certifications – Include:

• Michigan license as a pharmacy technician

Category Analyst

Function Information Technology

Req ID JN -082022-118368

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