Prior Authorization Pharmacy Technician Licensed Pharmacy Tech -Work from Home

Process prescription prior authorization requests submitted by healthcare providers with accuracy and efficiency Review and research complex and compound prescriptions to support appropriate coverage decisions Conduct outbound outreach to providers to obtain additional or clarifying information as needed Partner with pharmacists by providing prior authorization recommendations based on benefit plan design and coverage guidelines Coordinate and process specialty medication reviews across both pharmacy and medical benefits Maintain up-to-date knowledge of pharmacy and medical claims processing systems and requirements Qualifications: Active, unrestricted Pharmacy Technician license in Arizona (AZ) Previous experience as a Pharmacy Technician, preferably in prior authorization, managed care, or specialty pharmacy Demonstrated experience with prior authorization processes, including specialty medications, precertification, and retrospective reviews Strong analytical and problem-solving skills with the ability to interpret clinical and benefit information Excellent communication skills with a focus on professionalism and customer service Ability to work independently in a remote environment while managing productivity and quality expectations Prior Authorization Pharmacy Technician - Unlicensed Pharmacy Tech Job Description:Sagility is seeking a Prior Authorization Unlicensed Pharmacy Technician to join our dynamic, connected culture! Ourmotivated,Prior Authorization Unlicensed Pharmacy Technician willassistour members with callsregardingnon-formularymedications, prior authorizations, andup-tier medication requests

1 year of experience in a pharmacy or medical field (e.g., pharmacy, health insurance, medical office) Education High School Diploma or GED required Licenses: Must obtain and maintain an Arizona State Board Pharmacy Technician License within 9 months of hire Certifications: Must obtain and maintain Pharmacy Technician Certification Board (PTCB) Certification within 9 months of hire Qualifications: 1 year of experience in a pharmacy or medical field (e.g., pharmacy, health insurance, medical office) High School Diploma or GED required Must obtain and maintain an Arizona State Board Pharmacy Technician License within 9 months of hire Must obtain and maintain Pharmacy Technician Certification Board (PTCB) Certification within 9 months of hire Preferred Qualifications: 3 years of experience with Pharmacy Benefit Management (PBM) or prescription claims administration 1 year of Prior Authorization experience 2 years of experience handling confidential information Required Job Skills: Intermediate PC proficiency with word processing, spreadsheets, and claims/imaging systems Required Professional Competencies Ability to establish and maintain collaborative working relationships Strong organizational skills with the ability to prioritize workflow Ability to compose clear and professional business correspondence Required Leadership Competencies: Ability to use available information to prioritize tasks and support team objectives Preferred Job Skills Advanced PC proficiency with word processing, spreadsheet Apply To this Job Company : Licensed Pharmacy Tech Salary : 38,23143,885 a year .