Job Description
Job Title: Remote Pharmacy Technician – Prior Authorization
Job Description
This remote Pharmacy Technician role focuses on reviewing pharmacy prior authorization requests and supporting coverage determinations for a large healthcare insurance pharmacy services department. You will evaluate requests against established criteria, approve or deny them, and route decisions to pharmacists for final review, while working across multiple health plans and medication types with minimal phone work.
Responsibilities
+ Review pharmacy prior authorization requests for coverage determination across multiple health plans and all types of medications.
+ Evaluate requests based on established clinical and benefit criteria, making an initial approval or denial decision.
+ Enter coverage determination decisions accurately into the pharmacy benefit management (PBM) system.
+ Track coverage determination requests from receipt through final decision, ensuring ti...
Job Description
This remote Pharmacy Technician role focuses on reviewing pharmacy prior authorization requests and supporting coverage determinations for a large healthcare insurance pharmacy services department. You will evaluate requests against established criteria, approve or deny them, and route decisions to pharmacists for final review, while working across multiple health plans and medication types with minimal phone work.
Responsibilities
+ Review pharmacy prior authorization requests for coverage determination across multiple health plans and all types of medications.
+ Evaluate requests based on established clinical and benefit criteria, making an initial approval or denial decision.
+ Enter coverage determination decisions accurately into the pharmacy benefit management (PBM) system.
+ Track coverage determination requests from receipt through final decision, ensuring ti...
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