Remote Pharmacy Technician
Job Title: Remote Pharmacy TechnicianJob 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.
- 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.
- Previous experience in a retail pharmacy setting.
- Certified Pharmacy Technician (PTCB or NHA).
- Prior authorization experience.
- Familiarity with third-party claims processing.
- This is a fully remote position.
- Must have a dedicated workspace with reliable high-speed internet.
- Flexible scheduling, including availability for weeknights and weekends.
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)