Clinical Pharmacy Technician II - Prior Authorizations at WVU Medicine

Role Overview

The Clinical Pharmacy Technician II specializing in Prior Authorizations at WVU Medicine's Operations Support Center plays a crucial role in ensuring patients receive the medications they need in a timely and cost-effective manner. This position involves a blend of clinical knowledge, financial understanding, and excellent communication skills. The technician is responsible for navigating the complexities of insurance requirements, securing necessary authorizations, and providing support to patients throughout the process. This role demands a high level of accuracy, attention to detail, and the ability to work independently while collaborating with pharmacists and other healthcare professionals.

A Day in the Life

Each day as a Clinical Pharmacy Technician II is dynamic and engaging. Here’s a glimpse into the daily routine: * **Patient Data Collection:** Gathering comprehensive patient information, including medical history, current medications, and insurance details. * **Financial Counseling:** Providing patients with education and counseling regarding the financial aspects of their medications and treatment plans. * **Insurance Verification:** Verifying patient insurance coverage and understanding specific plan requirements for prior authorizations. * **Pre-certification:** Preparing and submitting clinical information to insurance companies to obtain pre-certification for medications. * **Authorization Management:** Monitoring the status of authorization requests and following up with insurance companies as needed. * **Claims Management:** Assisting with third-party claims management to ensure accurate and timely processing. * **Patient Communication:** Interacting with patients to gather necessary information, answer questions, and provide updates on their authorization requests. * **Collaboration:** Working closely with pharmacists and other healthcare team members to ensure seamless coordination of patient care. * **Policy Adherence:** Ensuring all activities comply with departmental policies, procedures, and regulatory requirements. * **Documentation:** Maintaining accurate and detailed records of all interactions and activities related to prior authorizations.

Why Morgantown, West Virginia?

Morgantown offers a unique blend of small-town charm and big-city amenities. As the home of West Virginia University, Morgantown boasts a vibrant cultural scene, diverse dining options, and a wide range of recreational activities. The city is surrounded by beautiful natural landscapes, making it an ideal location for outdoor enthusiasts. Additionally, Morgantown offers a lower cost of living compared to many other metropolitan areas, making it an attractive place to live and work. Morgantown is a vibrant city in North Central West Virginia. Known as a hub for education, healthcare, and technology, Morgantown offers a mix of urban amenities and outdoor activities. * **Education and Research:** Morgantown is home to West Virginia University (WVU), a major research institution and a key driver of the local economy. WVU contributes to the city's dynamic atmosphere with academic events, cultural performances, and sporting competitions. * **Healthcare Excellence:** WVU Medicine, one of the largest healthcare systems in the state, is headquartered in Morgantown. It provides comprehensive medical services and attracts healthcare professionals from around the region. * **Outdoor Recreation:** Situated in the Appalachian foothills, Morgantown offers access to hiking trails, parks, and natural areas. The nearby Monongahela River provides opportunities for boating and fishing. * **Cultural and Entertainment:** The city features a lively downtown area with restaurants, bars, and shops. The Metropolitan Theatre hosts concerts, shows, and community events. * **Community and Quality of Life:** Morgantown has a welcoming community with diverse neighborhoods and a range of housing options. The city hosts local festivals, farmers' markets, and community gatherings throughout the year. * **Accessibility:** Morgantown is conveniently located near major transportation routes, including Interstate 79 and Interstate 68, providing easy access to other cities in the region.

Career Path

The Clinical Pharmacy Technician II position at WVU Medicine offers a clear pathway for career advancement. With experience and continued education, technicians can advance to roles such as: * **Clinical Pharmacy Technician III:** Taking on more complex responsibilities and serving as a mentor to junior technicians. * **Lead Pharmacy Technician:** Supervising a team of technicians and overseeing daily operations. * **Pharmacy Supervisor:** Managing the overall pharmacy department and ensuring compliance with regulations. * **Specialized Pharmacy Technician:** Focusing on a specific area of pharmacy practice, such as oncology or cardiology. * **Pharmacist:** Pursuing a Doctor of Pharmacy degree and becoming a licensed pharmacist. WVU Medicine supports employee growth through various training programs, tuition reimbursement, and career development resources. ## Salary & Benefits The typical salary range for a Clinical Pharmacy Technician II in Morgantown, WV, is $32,000 - $48,000 annually. WVU Medicine offers a comprehensive benefits package, including: * **Health Insurance:** Medical, dental, and vision coverage. * **Paid Time Off:** Generous vacation, sick leave, and holiday pay. * **Retirement Savings:** 401(k) plan with employer matching. * **Life Insurance:** Basic and supplemental life insurance options. * **Disability Insurance:** Short-term and long-term disability coverage. * **Tuition Reimbursement:** Financial assistance for continuing education. * **Employee Assistance Program:** Confidential counseling and support services. * **Wellness Programs:** Initiatives to promote employee health and well-being. ## WVU Medicine Culture WVU Medicine is committed to providing exceptional patient care in a supportive and collaborative environment. Employees are valued for their contributions and are encouraged to grow and develop their skills. The organization fosters a culture of teamwork, respect, and continuous improvement. WVU Medicine is dedicated to creating a diverse and inclusive workplace where all employees feel welcome and valued. ## How to Apply To apply for the Clinical Pharmacy Technician II position, please submit your application online through the WVU Medicine careers website. Be sure to include your resume, cover letter, and any relevant certifications or licenses. The application process typically includes an initial screening, phone interview, and in-person interview. Candidates who are selected for an interview will be contacted by the hiring manager. ## Frequently Asked Questions (FAQ) **Q1: What are the required qualifications for this position?** A: The minimum qualifications include a high school diploma or equivalent, current licensure as required by the state board, and either national certification or two years of pharmacy experience with certification obtained within 15 months of hire. **Q2: What are the preferred qualifications?** A: Preferred qualifications include an associate's degree or post-high school education in a science field. **Q3: What are the main responsibilities of a Clinical Pharmacy Technician II?** A: The main responsibilities include securing patient data, providing financial education, verifying insurance, managing prior authorizations, and collaborating with pharmacists. **Q4: What opportunities for career advancement are available?** A: Career advancement opportunities include Clinical Pharmacy Technician III, Lead Pharmacy Technician, Pharmacy Supervisor, Specialized Pharmacy Technician, and Pharmacist. **Q5: What is the salary range for this position?** A: The salary range for this position is typically between $32,000 and $48,000 annually. **Q6: What benefits does WVU Medicine offer?** A: WVU Medicine offers a comprehensive benefits package, including health insurance, paid time off, retirement savings, and tuition reimbursement. **Q7: Is prior experience in pharmacy required?** A: Prior experience is preferred but not required if you have national certification. If you do not have certification, two years of pharmacy experience are required, with certification obtained within 15 months of hire. **Q8: What skills are important for success in this role?** A: Important skills include attention to detail, communication, problem-solving, and knowledge of pharmacy practices. **Q9: What is the work environment like at WVU Medicine?** A: WVU Medicine fosters a supportive and collaborative work environment with a focus on teamwork and continuous improvement. **Q10: How can I learn more about WVU Medicine's commitment to diversity and inclusion?** A: You can learn more about WVU Medicine's commitment to diversity and inclusion by visiting their website and reviewing their policies and initiatives.