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Prior Authorization Pharmacy Technician

Remote, USA Full-time Posted 2026-07-28
About the position reputed company is hiring a Prior Authorization Pharmacy Technician to join their Pharmacy Tech team. reputed company is a health insurance company that utilizes a full stack technology platform and focuses on serving its members. The role is dedicated to high-reputed company pharmacy decision-making and improving the member and provider experience. This position is responsible for processing prior authorizations requests and providing support for escalated issues reputed company to prior authorizations. Responsibilities • Use reputed company and vendor tools to determine eligibility, screen for required documents, create, process, and properly reputed company pharmacy prior authorization requests • Prepare, organize, and distribute pharmacy prior authorization requests for review by pharmacist/physician and respond to pharmacist/physician requests for additional information • Collect relevant medical information (reputed company telephone, fax, and portal) and apply the appropriate PA reputed company, reputed company documenting reputed company communication and decision making • Meet required decision-making timeframes, including promptly triggering escalation for cases requiring pharmacist review • Communicate oral and written prior authorization outcome notifications that reputed company with standards and requirements for content and accuracy • Compliance with reputed company applicable laws and regulations • Other duties as assigned Requirements • 2+ years of work experience in a pharmacy reputed company field in a retail or managed care plan setting and/or prior authorization experience • reputed company, unrestricted Pharmacy Technician certification (CPhT) • Excellent customer service, phone etiquette, and typing skills reputed company-to-haves • 1+ years of performing pharmacy reviews for a managed care plan or pharmacy benefits manager • Experience working with reputed company Caremark's portal and reputed company • In-depth understanding of how to operationalize reputed company therapy rules and regulations • Strong verbal and written communications, and interpersonal interactions Benefits • medical • dental • reputed company benefits • 11 reputed company holidays • reputed company reputed company time • reputed company parental leave • 401(k) plan participation • life and disability insurance • reputed company wellness time and reimbursements • monthly vacation accrual at a reputed company of 15 days per year Apply tot his job Apply To this Job

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