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Pharmacy Technician - Medical Review Clinician Assistant

Location: Portland, OR
Job Code: 311
# of Openings: 1

Description

PHARMACY TECHNICIAN – Medical Review Clinician Assistant

AllMed Healthcare Management’s mission is to improve the quality and integrity of healthcare by providing independent medical review services that help payers and providers deliver better health outcomes. We partner with over 200 leading health insurance and hospital organizations and have maintained consistent growth, through our commitment to the highest quality, client satisfaction, and technology innovation.  We have recently undergone a lean transformation in our Clinical Operations, with the goal of driving continuous improvement in our performance.

We are currently seeking an experienced Pharmacy Technician to join our MedCert team as a Medical Review Clinician Assistant. This position is located in our downtown Portland, OR office.

POSITION DESCRIPTION

This position works at multiple phases of the review process for pharmacy and medical reviews, including: preparation of cases to ensure essential materials have been submitted, coordination of documentation sent to reviewers, writing clinical summaries, reviewing/editing returned reviews, ensuring determination accuracy, checking medical facts, and ensuring quality and production parameters are met. The Medical Review Clinician Assistant will be asked to provide clinical support and information in the area of Medicare, Medicaid and commercial drug plan medication and other medical reviews and ensure quality and timeliness of the reviews returned to the client.

REQUIRED SKILLS

  • Associate degree from an accredited college
  • Minimum of 1-3 years of experience working as a Pharmacy Technician, under the direct supervision of a Pharmacist
  • Must have experience in a fast-paced pharmacy setting of at least 1-3 years, and possess knowledge of healthcare/pharmacy industry, terminology, and standards
  • Experience with Medicare rules and regulations, including pharmacy benefit language
  • Demonstrated critical thinking skills, writing competency, customer service orientation and teamwork ethic are essential

DESIRED SKILLS

  • Bachelors degree is preferred

 

BENEFITS

AllMed’s competitive benefits program includes comprehensive medical and dental care, matching 401K, paid time off, flexible spending accounts, disability coverage, and other benefits that help provide financial protection for you and your family.

 

AllMed provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, AllMed complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.





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(800) 400-9916
111 SW Fifth Ave., Suite 1400, Portland, OR 97204
AllMed Healthcare Management, Inc. All rights reserved.

AllMed is an independent review organization with a panel of 400 physician peer reviewers who are licensed, board-certified and in active practice, covering more than 80 ABMS specialties and sub-specialties. AllMed offers medical, copy-editing and customer resources that enable clients to improve quality of care and patient safety.