Prior Authorization Pharmacy Technician (Seasonal) - Remote

Overview

This is a seasonal contract position for a Pharmacy Technician at SmithRx, where you will assist in navigating prescription complexities to ensure timely medication coverage.

In Short

• Assist members, providers, and pharmacies with prescription coverage.
• Verify eligibility and drug coverage under plan benefit design.
• Triaging clinical review for prior authorization requests.
• Review prior authorization requests based on established protocols.
• Organize and prioritize multiple requests for timely management.
• Use pharmacy technician experience for accurate claims adjudication.
• Work across teams to coordinate outreach and address escalations.
• Evaluate clinical situations against medication policies.
• Communicate effectively with various stakeholders.
• Follow protocols and escalation pathways for unique situations.

Requirements

• High School diploma or GED or equivalent experience.
• Active Pharmacy Technician license required.
• 2-5 years of experience as a Pharmacy Technician.
• 1+ years in prior authorization review required.
• Proficiency in Mac, MS Office, G-Suite.
• Critical thinking skills for clinical decision-making.
• Active listening and conversational speaking skills.
• Self-starter with multitasking ability.
• Clear communication skills for complex information.
• Ability to work accurately within protocols.

Benefits

• Collaborative and inclusive work environment.
• Opportunity to impact healthcare transformation.
• Work with a mission-driven team.
• Flexible work arrangements.
• Professional growth opportunities.