Certified Pharmacy Technician

This is a fully remote position, open to applicants in United States.

📋 Description

• Foster and maintain daily interactions with personnel from state agencies

• Assist with eligibility updates, reporting, formulary activities, and prior authorization assistance

• Support the pharmacy programs, policies, processes, and reporting requirements of state agencies

• Aid in the adjudication of POS and HCPCS related to medication prior authorizations

• Evaluate, investigate, and process pharmacy prior authorization requests in accordance with established criteria, policies, regulatory requirements, FDA guidance, and service-level expectations

• Investigate and resolve inquiries related to programs, members, providers, and pharmacies

• Accurately document all activities

• Address questions from providers regarding enrollment in limited distribution drug programs

• Collaborate with internal departments on various pharmacy initiatives

• Offer subject-matter expertise for pharmacy programs

• Identify opportunities to enhance quality and operational efficiency

⛳️ Requirements

• Active Certified Pharmacy Technician credential (PTCB/CPhT, ExCPT, or equivalent) is mandatory

• Minimum of two years of relevant experience as a pharmacy technician

• Preferably experienced in managed care, health insurance, PBM, pharmacy benefits, Medicaid, or a related healthcare setting

• Familiarity with pharmacy prior authorizations, prescription claims, medication terminology, and support for members, providers, or pharmacies

• Experience with POS claims, HCPCS, provider enrollment, formularies, eligibility, or similar pharmacy program operations is highly desirable

• Strong skills in communication, research, problem-solving, computer proficiency, and organization

• Ability to navigate multiple systems in a fast-paced remote work environment

• Must reside within the United States

• Reliable high-speed internet connection and a professional, distraction-free home workspace

• Availability to work Monday through Friday, from 8:00 a.m. to 5:00 p.m. Eastern Time

🏝️ Benefits

• Medical, dental, and vision benefits

• 401(k) options

• 401(k) employer match

• Flexible vacation policy

• Educational assistance

• Leadership and technical development academies

• Flexible work hours

• Opportunities for career development and continuous learning

• Work-life balance