Certified Senior Pharmacy Technician

Certified Senior Pharmacy Technician

This fully remote role supports pharmacy benefit operations while helping deliver high-quality service to members, providers, and pharmacies. You will serve as a pharmacy subject matter resource, applying your expertise to prior authorization requests and complex pharmacy inquiries. The position combines pharmacy knowledge, research, customer service, and problem-solving in a fast-paced healthcare environment. You will also contribute to the development of pharmacy technician teams through training, coaching, and ongoing knowledge sharing. Your work will directly support operational quality, regulatory compliance, productivity, and service-level objectives. The role offers regular interaction with healthcare stakeholders while providing the flexibility of a work-from-home environment. It is an opportunity for an experienced Certified Pharmacy Technician to expand their impact while continuing to develop professionally.

Accountabilities:

• Review, research, and process pharmacy prior authorization requests in accordance with established criteria, policies, regulatory requirements, and applicable service-level agreements.
• Research and resolve member, provider, and pharmacy inquiries and escalations, providing accurate information and appropriate follow-up.
• Accurately document calls, authorization activities, inquiries, and resolutions while maintaining compliance with HIPAA, PHI, and applicable program requirements.
• Serve as a pharmacy subject matter resource and support new-hire training, continuing education, coaching, and development for pharmacy technician team members.
• Monitor quality and operational trends, identify opportunities for improvement, and collaborate with supervisors and leadership to support service, productivity, and quality objectives.
• Independently manage assigned responsibilities while maintaining effective communication with members, providers, pharmacies, pharmacy technicians, leadership, and other internal stakeholders.

Requirements:

• Active Certified Pharmacy Technician credential, such as PTCB/CPhT, ExCPT, or an equivalent certification, is required.
• At least 2 years of relevant pharmacy technician experience, preferably within managed care, health insurance, pharmacy benefit management, pharmacy benefits, or a related healthcare environment.
• Experience with pharmacy prior authorizations, prescription claims, medication terminology, and member, provider, or pharmacy support.
• Previous experience training, coaching, mentoring, or serving as a subject matter resource for pharmacy technicians or healthcare operations staff is preferred.
• Strong communication, research, problem-solving, computer, and organizational skills, with the ability to navigate multiple systems effectively.
• Ability to work independently and maintain accuracy and productivity in a fast-paced remote environment.
• Reliable high-speed internet and a professional, distraction-free home workspace are required.

Benefits:

• Annual salary range of $44,900–$64,100 USD, with actual compensation varying based on factors including geographic region, internal equity, job-related knowledge, skills, and experience.
• 100% remote/work-from-home position for candidates residing within the United States.
• Full-time, non-exempt employment with a Monday–Friday schedule of either 8:00 AM–4:30 PM EST or 9:00 AM–5:30 PM EST.
• Medical, dental, and vision coverage, subject to applicable eligibility requirements.
• 401(k) retirement savings plan with employer match.
• Paid time off and flexible vacation benefits for eligible full-time employees.
• Additional wellness and financial programs designed to support employee well-being.
• Educational assistance and access to leadership and technical development academies.
• Opportunities for continuous learning, career development, and professional growth.