Remote Pharmacy Technician

Job Title: Remote Pharmacy Technician

Job Description:

As a Remote Pharmacy Technician, you will play a crucial role in managing coverage determination requests and ensuring efficient communication between providers, members, and the pharmacy benefit management (PBM) system. Your key duties will include:

• Monitoring and prioritizing coverage determination requests submitted by providers.
• Approving coverage determination requests based on defined criteria and entering decisions into the PBM system.
• Notifying physicians, providers, and members of coverage determination request decisions.
• Responding to client inquiries regarding authorization approvals and PBM online applications.
• Referring coverage determination requests for specialty drugs to delegated vendors or clients for processing.
• Contacting providers for additional information to facilitate coverage determination reviews.
• Maintaining accurate records of all coverage determination requests and decisions.
• Building a culture of care, engagement, and recognition with clear outcomes.

Hard Skills:

• Registered Pharmacy Technician license.
• Strong computer skills, including proficiency in Microsoft Suite.
• Attention to detail and excellent organizational skills.
• Strong communication and interpersonal skills.
• Ability to work independently in a remote setting.

Preferred Qualifications:

• Previous experience in a retail pharmacy setting.
• Certified Pharmacy Technician (PTCB or NHA).
• Prior authorization experience.
• Familiarity with third-party claims processing.

Work Environment:

• This is a fully remote position.
• Must have a dedicated workspace with reliable high-speed internet.
• Flexible scheduling, including availability for weeknights and weekends.