Back to search
Company
ArchimedesAbout Us
Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.Pay Range
USD $0.00 - USD $0.00 /Hr.STAR Bonus % (At Risk Maximum)
0.00 - IneligibleWork Schedule Description (e.g. M-F 8am to 5pm)
M-F 8AM-5PM Hybrid ScheduleOverview
The Pharmacy Technician, Retrospective Case Management is responsible for managing their assigned work queue related to non-clinical work to support retrospective case management operations, benefit exclusions, formulary and therapeutic substitutions, and high-cost case management. This role will be able to successfully communicate with physicians, nurses, and pharmacists related to outstanding documentation needed for cases, patient medication history documentation, and drug cost information related to specialty and traditional medications.
Â
The Pharmacy Technician, Retrospective Case Management will be divided into two areas: first review of retrospective case management of specialty medications against policies, high-cost case management support functions, and internal clinical process development and maintenance activities. In addition, this role will have the opportunity to help develop the expansion of services that can be performed by pharmacy technicians for support.
Responsibilities
How do I make an impact on my team?
- Develop and deliver follow up messages to physicians related to case management documentation.
- Organize peer-to-peer collaboration between physicians and pharmacists.
- Manage and act as a primary point of contact for high-cost case management and retroactive drug utilization cases, related to coordination of outbound physician notification and inbound case documentation.
- Manage queues and organize documents for pharmacy technician work that relates to case management.
- Perform retrospective case management related to provider denial and low-clinical acuity cases as identified by clinical policies and guidelines.
- Participate in, adhere to, and support compliance, people and culture, and learning programs.
- Perform other duties as assigned.
Qualifications
What our team expects from you?
- Education: High school diploma or GED required.
- Certification/Licenses: Licensed Pharmacy Technician required.
- Experience:
- 2 years of managed care experience preferred.
- Benefit knowledge and experience preferred.
- Proficient in Microsoft Excel, Power Point and Word required.
What can you expect from Archimedes?Â
- Top of the industry benefits for Health, Dental, and Vision insuranceÂ
- 20 days paid time offÂ
- 4 weeks paid parental leaveÂ
- 9Â paid holidaysÂ
- 401KÂ company match of up to 5%Â - No vesting requirementÂ
- Adoption Assistance ProgramÂ
- Flexible Spending AccountÂ
- Educational Assistance Plan and Professional Membership assistanceÂ
Location : Address
502 Earth City Expy STE 300Location : City
Earth CityLocation : State/Province
MOLocation : Postal Code
63045Location : Country
USLearn more about this Employer on their Career Site
