Pharmacy Benefits Support Specialist

Job Description

Job Description

Ready to take your pharmacy technician experience beyond the pharmacy counter? Use your expertise to help members navigate prescription benefits, prior authorizations, medication access, and clinical programs while making a direct impact on their care experience.

PHARMACY BENEFITS SUPPORT SPECIALIST

LOCATION

The Colony, TX | Onsite

COMPENSATION & SCHEDULE

• $24/hour

• Monday–Friday, 11:00 a.m.–8:00 p.m. CST

• Full-time, W2 employment

(Training typically Mon - Fri from 9:00a - 6:00pm)

ROLE IMPACT

Put your pharmacy expertise to work beyond the traditional pharmacy counter. As a Pharmacy Tech Care Guide, you’ll help members navigate prescription benefits, prior authorizations, medication access, and clinical support programs—combining pharmacy knowledge with hands-on member guidance to help remove barriers to care.

KEY RESPONSIBILITIES

• Conduct first-level reviews of prior authorization requests for GLP-1 and related therapies, confirming required documentation and established criteria are complete.

• Track medication fills, renewals, pending authorizations, and outstanding requests to support timely resolution and program service levels.

• Guide members through prescription benefits, coverage options, co-pay assistance, reimbursement resources, and applicable clinical programs.

• Help members navigate lifestyle and chronic condition management programs while coordinating with vendors, pharmacies, and clinical review teams.

• Document member interactions and case activity accurately while supporting program reporting, quality standards, and HIPAA requirements.

MINIMUM QUALIFICATIONS

• Active Certified Pharmacy Technician (CPhT) certification.

• 2+ years of pharmacy experience in a retail pharmacy, Pharmacy Benefit Management (PBM), or managed care environment.

• Strong member service, organization, documentation, and verbal and written communication skills with Microsoft Office proficiency.

CORE TOOLS & SYSTEMS

Pharmacy Benefit Management (PBM) Systems | Prior Authorization Platforms | Clinical Documentation Systems | Microsoft Outlook | Microsoft Excel | Microsoft Word | Member Engagement & Reporting Tools

PREFERRED SKILLS

• Knowledge of PBM operations, including pharmacy claims, formulary requirements, and prior authorization processes.

• Familiarity with GLP-1 therapies, weight management, or chronic condition management programs.

• Experience helping members resolve prescription coverage, medication access, or clinical program questions.

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