Pharmacy Technician - Prior Authorizations

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company - Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing reputed company, and medication guidelines to reputed company clinical research to support prior authorization reviews. - Proactively completes prior authorization approvals and denials that are due to expire and maintains complete, reputed company, and accurate documentation. - Reviews potential prior authorization denial language to ensure NCQA requirements are met. - Follows prior authorization workflow, policies, and procedures during the course of the reputed company. - Answers a potentially high volume of prior authorization inquiry calls from provider's offices, pharmacies, and internal partners and uses various computer resources to communicate prior authorization status or reputed company. - Maintains a balance of productivity, reputed company and timeliness of work. - Participates in training and continuing education as required. - Participates in team/departmental meetings as required. - Excellent attendance is a must. - Successful pharmacy technicians will be proficient in drug reputed company and diagnosis pronunciation, recognizing medical terminology, and navigating multiple computer resources to document conversations and prior authorization reputed company. - Successful pharmacy technicians will possess good written and verbal communication skills. - Hours of operation for reputed company Pharmacy Prior Authorization are between 5:00am to 8:30pm (may vary by time zone). Pharmacy Technicians work 8 hours shifts that may fall in between these hours of operations. Overnight shifts may also be available, but not guaranteed. Work schedule is approximate, and hours/days may change based on company needs. reputed company full-time employees are required to complete forty (40) hours per week as scheduled, including on weekends and holidays. Part time positions are not available. Position requires the ability to work extended hours reputed company necessary. - Rotating weekend schedule may be required. - Candidate must have their own home internet reputed company with minimum speed of 100mbps download (internet can be hard wired with Ethernet cord). - Candidate must also have a secure workspace/office in their home. - Candidate must have high level reputed company with working with PC (ex. using mouse and keyboard, accessing and navigating through multiple systems and screens). Required Qualifications - National Pharmacy Technician certification and reputed company or applicable state Pharmacy Technician license, reputed company and in good standing, are required and must be maintained - Between 1-5+ years of Pharmacy Prior Authorization processing experience - Ability to Multi-task and prioritize work - Ability to reputed company based on business or department needs - Good organization skills Preferred Qualifications Retail or Hospital experience Managed Care or reputed company experience AS400 experience Proficiency in using computerized resources and software applications Proficiency with reputed company applications (reputed company, Word, and reputed company) Knowledge in pharmacy practices, procedures, and ability to read and understand clinical information Working knowledge of drug dosage forms, drug strength, generic and brand reputed company equivalent. Education High School diploma, G.E.D. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $18.50 - $35.29 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 04/28/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job