Certified Pharmacy Technician | Waltham, Massachusetts

Remote Pharmacy Technician

A remote Pharmacy Technician role is available emphasizing Medicare Part B utilization management and prior authorizations. This opportunity is a 6-month contract with the potential to transition to permanent employment. The schedule includes Monday through Friday shifts with rotating mandatory weekends, requiring strong commitment during certain contract dates with no days off except emergencies.

Key Responsibilities:

• Review and process prior authorization requests using established policies and decision trees
• Triage incoming prior authorization requests from provider offices
• Support Medicare Part B medication prior authorizations and preferred product strategies
• Contact provider offices and hospitals to obtain clinical documentation needed for authorization reviews
• Communicate authorization decisions and follow up with providers and members as necessary
• Assist members and providers when alternative treatment options are required
• Provide operational support to Pharmacy Technicians, Pharmacists, and Physicians to ensure timely and accurate decisions
• Act as a point of contact for internal teams, external providers, and operational partners
• Support offshore clinical partners involved in utilization management pharmacy workflows
• Interpret plan benefits and enter specialty pharmacy overrides to support proper claim adjudication

Qualifications and Experience:

• PTCB certification is required
• Minimum of 3 years of Pharmacy Technician experience
• Experience with Medicare Part B operations, particularly utilization management, prior authorizations, medical benefits, or pharmacy help desk functions
• Prior exposure to the Medicare population is essential
• Strong proficiency with technology, including multiple systems and Google Workspace/G Suite
• Exceptional attention to detail and organizational skills
• Excellent verbal and written communication skills
• Prior utilization management and prior authorization experience is highly preferred

Location: Remote open to candidates nationwide

This position is a contract role with a competitive hourly rate during the contract and the possibility of permanent placement thereafter. All necessary equipment will be provided.

Candidates who have direct experience with Medicare Part B, utilization management, and prior authorization are strongly encouraged to apply. Take this opportunity to leverage your specialized pharmacy expertise in a vital remote healthcare role.

Compensation for this position ranges from $18.50 to $29.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date.