Certified Pharmacy Technician

A company is looking for a Clinical Prior Authorization Technician.

Key Responsibilities

Prepare prior authorization requests by validating prescriber and member information and clinical guidelines

Make outbound calls to providers to gather additional clinical information for pharmacist review

Review and analyze pharmacy claims data for proactive outreach and intervention

Required Qualifications

2+ years of pharmacy technician experience in a PBM, health plan, or clinical pharmacy setting

Experience handling prior authorization requests and understanding prior authorization requirements

National Certified Pharmacy Technician (CPhT) license is required

High school diploma or equivalent; Associate's or bachelor's degree preferred

Ability to work independently in a remote, high-volume, metric-driven environment