Consultative Pharmacy Technician

Consultative Pharmacy Technician

This remote role is an opportunity for an experienced pharmacy technician to support patients, providers, pharmacies, and clinical pharmacy teams. You will serve as a key point of contact for medication-related questions, administrative needs, and complex pharmacy issues. Working closely with clinical pharmacists, you will contribute to medication reconciliation, therapy management, disease management, and adherence initiatives. Your expertise will help address prior authorizations, formulary restrictions, prescription claim issues, and medication affordability challenges. The position combines advanced pharmacy operations with patient-focused support and requires strong independent judgment and problem-solving skills. You will collaborate across departments to help improve medication safety, efficiency, quality, and patient outcomes. This is a full-time, nationwide remote opportunity with a Monday-to-Friday schedule and no regular travel requirements.

Accountabilities

• Serve as an intake point for calls and inquiries from patients, pharmacies, providers, and other healthcare partners, taking ownership of advanced administrative and operational support needs.
• Support clinical pharmacists with medication reconciliation, medication therapy management preparation, disease management activities, medication education, scheduling, and follow-up.
• Conduct medication adherence outreach, auditing, documentation, and reporting activities related to applicable STAR measures.
• Assist with prescription third-party claim rejections by reviewing formulary restrictions, plan limitations, drug utilization review requirements, and available overrides.
• Initiate and complete prior authorization requests and coordinate with health plan representatives and prescribers to resolve medication access issues.
• Support patients with medication assistance programs, formulary exceptions and alternatives, tier reductions, and other affordability solutions.
• Work with internal departments to investigate and resolve member questions or problems, particularly those involving prior authorization and medication access.
• Process selected medication claim updates and lists as requested by clinical pharmacists or providers.
• Maintain current knowledge of medication brand and generic names, medical terminology, and pharmaceutical calculations.
• Participate in scheduled team meetings and provide constructive feedback on workflows, processes, and operational challenges.
• Support additional pharmacy-related activities and initiatives as requested by pharmacy leadership.

Requirements

• Completion of an accredited Pharmacy Technician program.
• Active state pharmacy technician certification and license where required in the state of residence.
• PTCB certification.
• Possession of either a PTCB Medication Therapy Management (MTM) Certification or Medication History Certification, with the ability to obtain the second certification within 60 days of starting.
• At least 3 years of professional experience as a Pharmacy Technician.
• Demonstrated experience handling prior authorizations and resolving medication access issues.
• Strong knowledge of the top 200 commonly prescribed medications, including brand and generic names.
• Experience working with, or the ability to quickly learn, electronic health record systems.
• Strong oral and written communication skills and the ability to interact effectively with patients, providers, pharmacists, health plans, and internal teams.
• Strong problem-solving, organizational, follow-through, and independent decision-making skills.
• Ability to manage sensitive patient information and work effectively in a dedicated, interruption-free home environment.
• Pharmacy Benefit Management experience is preferred.
• Advanced Pharmacy Technician Certification and License (CPhT-ADV) is preferred.

Benefits

• Annual base salary range of $48,300$65,900, with actual compensation determined by factors including location, skills, experience, education, certifications, and other job-related qualifications.
• Eligibility for a bonus incentive plan based on company and/or individual performance.
• Fully remote, nationwide work-from-home arrangement.
• Full-time schedule of 40 hours per week, Monday through Friday, generally from 8:00 AM to 5:00 PM local time.
• Medical, dental, and vision coverage.
• 401(k) retirement savings plan.
• Paid time off, company holidays, and personal holidays.
• Paid parental and caregiver leave.
• Short-term and long-term disability coverage.
• Life insurance.
• Additional programs and resources designed to support employee well-being and healthcare needs.
• No regular travel is currently expected, although occasional travel for training or meetings may be required.
• Remote-work setup requires reliable internet service with at least 25 Mbps download and 10 Mbps upload speeds and a dedicated workspace suitable for protecting confidential health information.