Remote Pharmacy Technician

We are seeking a dedicated Remote Pharmacy Technician to join our team working in the EST time zone. As a Pharmacy Technician, you will be responsible for reviewing Prior Authorizations for coverage determination for a Pharmacy Services department within a large healthcare insurance company. You will make initial approval or denial decisions before passing them to Pharmacists for final review.

Responsibilities

• Track coverage determination requests
• Obtain verbal authorizations
• Approve requests based on criteria
• Enter decisions into the PBM system
• Notify providers and members of decisions
• Respond to client inquiries
• Refer requests for specialty drugs
• Contact providers for additional information
• Notify stakeholders of decision outcomes
• Obtain detailed clinical information from prescribers
• Assist with inbound and/or outbound patient or physician calls if needed

Requirements

• High School diploma or GED
• State Registration AND National Certification
• Basic computer skills
• Experience with Prior Authorization processes
• Proficiency in Microsoft Office and Outlook
• Data entry skills

Pay and Benefits

The pay range for this position is $18.00 - $20.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Aug 24, 2025.