Pharmacy Technician, Pharmacy Benefits Management

Competency-Based Apprenticeship
Sponsoring Company:
CVS Health
O*Net Code
29-2052.00
Rapids Code
0844CB
Req. Hours
0
State
DC
Created
Apr 04, 2021
Updated
Apr 04, 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
Pharmacy Technician Certification Boards - PTCB National Certification
# | 146 hrs
Pharmacy Technician Certification Board (PTCB) - Session 1 (WBT/Online)
# | 146 hrs
Pharmacy Technician Certification Board (PTCB) - Session 2 (WBT/Online)
# | 146 hrs
Pharmacy Technician Certification Board (PTCB) - Session 3 (WBT/Online)
# | 146 hrs
Pharmacy Technician Certification Board (PTCB) - Session 4 (WBT/Online)
# | 146 hrs
Business Overview - CVS Caremark
# | 146 hrs
Clinical Services - Famous for Service - Dedicated - Individual Contributor
# | 146 hrs
CAS Web - Core Functions
# | 146 hrs
Prior Authorization (PA) Escalation Consultation
# | 146 hrs
Salesforce.com Prior Authorization Workflow - CAS
# | 146 hrs
Introduction to Quality Assurance
# | 146 hrs
Customer Service over the Phone
# | 146 hrs
Building Trust
# | 146 hrs
Behavioral Styles
# | 146 hrs
Making Telephone Calls Count
# | 146 hrs
Different Like You - Appreciating Diversity in the 21st Century
# | 146 hrs
Top 100 Drugs for Prior Authorization in the PBM
# | 146 hrs
Technician II
Embracing Change: An Individual Reflection on Building Commitment to Change
# | 22 hrs
Interpersonal Communication: Listening Essentials
# | 22 hrs
Problem Solving: Determining and Building Your Strengths
# | 22 hrs
Diversity, Empowerment and High Performance - Part 1 of 2
# | 22 hrs
Diversity, Empowerment and High Performance - Part 2 of 2
# | 22 hrs
Customer Interactions
# | 22 hrs
Communication Skills
# | 22 hrs
Conflict, Stress and Time Management
# | 22 hrs
Techniques for Improved Time Management
# | 22 hrs
Professionalism, Business Etiquette, and Personal Accountability
# | 22 hrs
Creating Workbooks, Worksheets, and Data in Excel
# | 22 hrs