Pharmacy Technician

Pharmacy Technician

Major duties include, but are not limited to the following:

• Makes independent clinical determinations of medication charges relating to disease state treatment for both Service Connected and Special Authority presumptive conditions.
• Gathers treatment information from the clinical patient record, evaluates therapeutic drug treatments for clinical conditions, and analyzes their relationship to accurate prescription billing practices.
• Corrects billing for prescription drug copayments based upon expert clinical determinations matching patient diagnosis and approved drug therapy.
• Identifies clinical parameters for thorough billing reviews to include additional eligibilities that may have been identified when the case was received.
• Calculates dosages based upon provider instructions to ensure quantities of medications prescribed are sufficient for the length of treatment being billed.
• Exhibits extensive working knowledge of the Clinical Pharmacy Resource operations and applies specialized pharmaceutical knowledge in conjunction with utilization of VA information systems (such as VistA, CPRS, VIS, VBMS, VES, and Capri) to evaluate prescription billing appropriateness for Veterans and family members.
• Works cooperatively and in conjunction with Pharmacy Service Supervisory Pharmacists on performance improvement activities, patient safety issues, and effective communication recommendations between VA Medical Center, Revenue Utilization Review, Veterans and their families.
• Evaluates and implements rules, laws, regulations, and policies to ensure accuracy of medication dispensing processes and determine course of action specific to the situation.
• Provides Veteran medication co-payment validations on a national scope and resolves medication copayment questions from Veterans, VISNs and all VA facilities upon request.
• Provides guidance and assistance to Third Party Administrators requesting Prior Authorization for continuation of medication therapy.
• Utilizes advanced communication technologies such as MyHealtheVet to communicate results of prescription billing reviews to Veterans.

Work Schedule: Tour of Duty: Monday - Friday between the hours of 7:00 am - 5:30 pm (40 hours per week)

Telework: Telework is not authorized for this vacancy.

Virtual: This is not a virtual position.

Remote: This is not a remote position

Functional Statement #: 32201-A

Recruitment Incentive (Sign-on Bonus): Not Authorized

Permanent Change of Station (PCS): Not Authorized