Remote Pharmacy Technician

Remote Pharmacy Technician

We are seeking a dedicated Pharmacy Technician to join our team in MedPharma. This role involves working primarily with Medicare and Medicaid patients to manage Prior Authorizations. You will begin with intake responsibilities and be trained to handle tech review tasks, ensuring medication coverage and eligibility.

Responsibilities

• Handle the intake of MedPharma prior authorizations, setting up PAs in the system and forwarding them to review technicians.
• Conduct tech reviews by receiving PA cases from the intake team and assessing them for coverage.
• Approve or deny medications based on criteria, SOPs, insurance documents, and medical documents.
• Make clinical determinations regarding medication approval or denial and coverage capacity.

Essential Skills

• Proficiency in data entry and pharmacy operations.
• Pharmacy technician certification with experience in managed care and claims.
• Strong customer service skills and the ability to work remotely and independently.
• Computer skills and familiarity with Prior Authorization processes.

Additional Skills & Qualifications

• Experience in managed care and pharmacy operations.
• Capability to provide customer service over the phone, manage calls, control conversations, and redirect as necessary.
• Certified Pharmacy Technician (CPHT) preferred.

Work Environment

• The position is 100% remote and requires a closed-door setting with limited distractions to ensure HIPAA compliance.
• A strong WiFi connection is essential for remote work.
• The training schedule is Monday to Friday, 10:00 AM to 6:30 PM EST.
• Post-training, you can choose between a Sunday-Thursday schedule (preferred 12:00-8:30 PM or 12:30-9:00 PM EST) or a Tuesday-Saturday schedule (preferred 12:30-9:00 PM EST).
• The work culture boasts a 90% cultural score internally, offering holiday benefits, PTO, flexibility, and other benefits.

Job Type & Location

This is a Contract to Hire position based out of Miami, FL.

Pay and Benefits

The pay range for this position is $20.00 - $23.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: 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)