Pharmacy Technician - Outpatient / Managed Care - PTOMC26-07202

Job Description

Job Description

Pharmacy Technician – Outpatient / Managed Care

Location: Portland, OR
Duration: 26 Weeks
Schedule: Day Shift | Standard Business Hours
On-Call: 2–3 weekends per year

Job Summary

"Navitas Healthcare, LLC" is seeking an experienced Pharmacy Technician to support pharmacy operations, pharmacy benefit administration, prior authorizations, claims processing, and member services within a managed care environment. This role requires strong pharmacy benefit knowledge, prior authorization experience, advanced Excel skills, and the ability to work independently in a fast-paced healthcare setting.

Key Responsibilities

• Process and coordinate pharmacy prior authorizations
• Review medication utilization criteria and pharmacy benefit requirements
• Support pharmacy claims processing and reimbursement activities
• Research and resolve pended claims and authorization issues
• Communicate with providers, pharmacies, members, and healthcare teams
• Maintain pharmacy databases and eligibility records
• Analyze pharmacy data and generate reports using Advanced Excel
• Support coding and documentation review using ICD-10, CPT, HCPCS
• Audit pharmacy claims and records for quality and compliance
• Train providers and staff on pharmacy workflows and systems
• Assist with quality improvement initiatives and workflow optimization
• Maintain HIPAA and regulatory compliance standards

Requirements

• Active Oregon Pharmacy Technician License Required
• Advanced Microsoft Excel Skills Required
• Minimum 2 Years of Pharmacy Technician Experience in Managed Care Environment OR Bachelor's Degree
• Prior Authorization Experience Required
• Pharmacy Benefit Management (PBM) or Health Plan Experience Required
• Claims Processing Experience Preferred
• Knowledge of ICD-10, CPT, HCPCS Coding
• Strong Analytical and Problem-Solving Skills
• Excellent Customer Service and Communication Skills

For more details reach at View email address on ziprecruiter.com

About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.