Pharmacy Technician

Accountable for receiving, referring and responding all requests received in the Pharmacy Department related to Coverage Determination for all line of business applying the criteria & guidelines approved by CMS, ASES, URAC, "Comisionado de Seguros", federal requirements and other regulatory state laws.

WHAT YOU'LL DO

- Evaluate requests received for Coverage Determination, properly classifies the request and handle it through the process distinguishing between coverage determination, grievances and appeals processes in accordance to the regulations and following Triple-S policies and procedures.
- Gathers the necessary clinical information required to complete the evaluation of the case according HUM1 established criteria.
Requisitos:
Pharmacy Technician Course with one (1) year of experience as a Pharmacy Technician. Hold an active, unrestricted professional license to practice as a Pharmacy Technician in Puerto Rico state law of Puerto Rico Board of Pharmacy. The Register Pharmacy Technician works in Triple-S Salud facilities in Puerto Rico or remotely when conducting any preauthorization.

Somos un patrono con igualdad de oportunidad de empelo. Contamos con un programa de Acción Afirmativa para Mujeres, Minorias, Veteranos y Personas con Discapacidad. Patrono con E-Verify para verificar la elegibilidad de empleo de todos los/las nuevos(as) empleados(as).Invitamos a las mujeres, veteranos y discapacitados a solicitar.