Utilization Management Technician - Pharmacy
Fairview Health Services - Minneapolis-Saint Paul, MN

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Fairview Health Services, headquartered in Minneapolis, is a non-profit, academic health system providing exceptional health care across the entire continuum. In partnership with the University of Minnesota, our 20,000 employees and 3,000 affiliated physicians embrace innovation and new thinking to deliver greater value—higher quality, better experience and lower cost.

Job Description:

Performs clinical prior authorizations and coverage determinations, under the direction of a ClearScript Clinical Pharmacist, interfacing with ClearScript clients, pharmacies, prescribers and subcontractor claims adjudicator.

  • Responsible for prior authorization communications to include notifications to members, pharmacies, prescribers and ClearScript Clients and staff.
  • Assists the utilization management review team, acting as primary resource for managing the prior authorization software tool and processing prior authorization through the claims adjudication platform.
  • Provides and promotes exceptional customer service, resolving issues in a timely manner.

Please apply online at http://www.fairview.org/Careers/index.htm and search for this opening using the job number 13-47636.


Minimum Education
High school diploma/GED. 
Preferred Education
Graduate of an accredited pharmacy technician program.

Minimum License/Certification/Registration
Current technician registration in good standing with the Minnesota Board of Pharmacy
National certification with the Pharmacy Technician Certification Board.

Minimum Experience
Minimum3 years’ pharmacy technician experience.
Minimum 2 years’ utilization review experience.

Preferred Experience
Minimum 3 years PBM utilization review experience.
Minimum 4 years pharmacy technician experience