Under the general supervision of the Supervisor ofPharmacyPrior AuthorizationTechnicians, thePharmacyServicesTechnicianI assists in the prior authorization process.
- 路 Supports Fraud and Abuse program system oversight by reviewing medication utilization records. Communicates any suspected fraud discovered. Recommends course of action for providers where patterns appears outside of guidelines and generally acceptedpharmacystandards.
- 路 Maintains and updates internal databases. Enters application information, prior authorizations and other relevant data. Ensures database information and appended files are current and accessible to staff. Generates reports and other information requested on a scheduled/as needed basis.
- 路 Performs other related duties as assigned.