Job Description

Job Title: Remote Pharmacy Technician

Job Description

As a Pharmacy Technician, you will play a crucial role in reviewing Prior Authorizations for coverage determination within a Pharmacy Services department at a large healthcare insurance company. Your responsibilities include approving or denying requests and forwarding them to a Pharmacist for final review. The role involves handling all health plans and various types of medications with minimal phone work, primarily outbound calls.

Responsibilities

  • Track coverage determination requests and obtain verbal authorizations.
  • Approve requests based on established criteria.
  • Enter decisions into the Pharmacy Benefit Management (PBM) system.
  • Notify providers and members of decision outcomes.
  • Respond to client inquiries and refer requests for specialty drugs.
  • Contact providers for additional information.
  • Notify stakeholders of decision outcomes.

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    Job Details

    Location
    Toledo, Ohio, United States
    Job Type
    Contractor
    Category
    Health Technologists and Technicians
    Posted Date
    July 21, 2026
    Deadline
    August 30, 2026