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Pharmacy Technician, Pharmacy Benefits Management

Published
Competency-Based Apprenticeship
Sponsoring Company:
CVS Health
O*Net Code
29-2052.00
Rapids Code
0844CB
Req. Hours
0
State
DC
Created
Aug 27, 2021
Updated
Aug 27, 2021

Competency-Based Skills

8 skill sets | 40 total skills
Pharmacy Benefit Management (PBM) Structure and Organization
Understand the organization of the PBM
Understand the relationships and duties of the pharmacists, technicians and support personnel
Understand the relationships and supervisory structure of the PBM
Understand how to comply with PBM guidelines and work place ethics
Maintain patient and client confidentiality and explain the implications of any violation
PBM Structure and Operations
Understand how to comply with federal, state, and local laws related to pharmacy benefits management
Understand the primary job responsibilities and duties of the pharmacist
Understand the primary job responsibilities and duties of the technician
Understand the relationship of the duties between the pharmacist and the technician
Understand the relationships of the pharmacy benefit manager including pharmacist with doctor, patient and technician, and technician with pharmacist, doctor and patient
Differentiate clearly when "a decision requiring a pharmacist's judgment" is needed
Communicate accurately, efficiently, and appropriately with patients and medical personnel on the telephone
Communicate clearly in writing
Demonstrate basic computer and keyboarding skills and the ability to learn PBM software
Technical Vocabulary
Identify and classify drugs correctly
Abbreviate and spell medical and pharmaceutical terms accurately
Demonstrate a working knowledge of researching information regarding medications
Knowledge of Drugs and Medications
Demonstrate a working knowledge of the top drugs requiring prior authorization
Differentiate accurately between generic and brand name drugs
Computation Skills
Translate between the apothecary, metric and household measurements accurately
Demonstrate a working knowledge of addition, subtraction, multiplication and division in the metric and apothecary systems
Calculate billing prices accurately using test claim functions
Drug Dosage, Administration, and Forms
Identify standard drug dosages for various drug classes
Recognize various forms of drugs differentiated in adjudication including tablets, capsules, solutions, suspensions, ointments, powders, injections, and suppositories
Recognize the rationales for drug use in prior authorization criteria, including preventive, curative, restorative and limiting disease processes
Recognize the relationships between patient variables and drug therapy
Understand how to explain the various routes of administration including oral, sublingual, buccal, inhalation, and rectal
Demonstrate a working knowledge of needle and syringe sizes and uses
Prescription Research
Demonstrate proficiency in accessing and maintaining records electronically
Demonstrate satisfactory customer skills such as the ability to listen and interpret internal and external customers' needs
Communicate accurately with customers and demonstrate empathy
Workplace Behaviors
Apply classroom instruction to PBM operations
Demonstrate an ability to learn and apply new concepts
Take initiative in seeking to contribute to the work of the PBM and increase his/her learning opportunities
Exhibit quality meeting minimum expectations
Produce quantity of work meeting minimum expectations
Maintain his/her schedule in timely manner
Demonstrate good communication skills
Demonstrate good judgment
Exhibit a positive and cooperative attitude

Technical Instruction

Technician 1 - 146 req. hrs
Pharmacy Technician Certification Boards - PTCB National Certification
Pharmacy Technician Certification Board (PTCB) - Session 1 (WBT/Online)
Pharmacy Technician Certification Board (PTCB) - Session 2 (WBT/Online)
Pharmacy Technician Certification Board (PTCB) - Session 3 (WBT/Online)
Pharmacy Technician Certification Board (PTCB) - Session 4 (WBT/Online)
Business Overview - CVS Caremark
Clinical Services - Famous for Service - Dedicated - Individual Contributor
CAS Web - Core Functions
Prior Authorization (PA) Escalation Consultation
Salesforce.com Prior Authorization Workflow - CAS
Introduction to Quality Assurance
Customer Service over the Phone
Building Trust
Behavioral Styles
Making Telephone Calls Count
Different Like You - Appreciating Diversity in the 21st Century
Top 100 Drugs for Prior Authorization in the PBM
Technician II - 22 req. hrs
Embracing Change: An Individual Reflection on Building Commitment to Change
Interpersonal Communication: Listening Essentials
Problem Solving: Determining and Building Your Strengths
Diversity, Empowerment and High Performance - Part 1 of 2
Diversity, Empowerment and High Performance - Part 2 of 2
Customer Interactions
Communication Skills
Conflict, Stress and Time Management
Techniques for Improved Time Management
Professionalism, Business Etiquette, and Personal Accountability
Creating Workbooks, Worksheets, and Data in Excel

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