Pharmacy Technician (Outpatient) - PTSS

Job Description

Job Description

Job Title: Pharmacy Technician (Outpatient)
Location: Portland, OR
Type: Local or Travel Contract (26 Weeks)
Shift & Schedule: Day Shift | 5 x 8-Hour Shifts | 40 Hours Per Week | 8:00 AM – 5:00 PM | On-Call: 2–3 Weekends per Year
Pay Rate:
Local: $30 - $34/hr
Travel: $35 - $41/hr Including Stipend (Based on Experience)

Position Overview:

Navitas Healthcare, LLC is seeking an Outpatient Pharmacy Technician for an exciting Local or Travel job in Portland, OR.

Responsibilities

• Process pharmacy prior authorizations independently using established policies and approval criteria.
• Review pharmacy benefits, medication utilization policies, and member eligibility information.
• Communicate with members, providers, pharmacies, customer service teams, and regulatory agencies regarding pharmacy-related inquiries.
• Serve as a liaison between physicians, pharmacists, office staff, hospitals, members, and payors to resolve issues and facilitate workflows.
• Perform intake, triage, documentation, and data entry for authorizations, referrals, medication management programs, and utilization reviews.
• Research and resolve pended claims, authorizations, and incomplete records.
• Audit pharmacy claims, documentation, and correspondence to ensure accuracy and compliance.
• Assist with coding and review processes utilizing ICD-10, CPT, and HCPCS coding systems.
• Authorize pharmacy claims and direct member reimbursements according to established guidelines.
• Analyze data, prepare reports, and support quality improvement initiatives.
• Maintain confidentiality and compliance with HIPAA, state, and federal regulations.
• Develop written communications, procedures, and educational materials for providers, pharmacies, and health plan members.
• Provide training and technical support regarding pharmacy processes and system usage.
• Utilize pharmacy systems, claims processing systems, and Microsoft Office applications, including advanced Excel functions.

Required Qualifications

• Active Oregon Pharmacy Technician License.
• Advanced Microsoft Excel skills.
• Bachelor's Degree preferred or a minimum of 2 years of experience as a Pharmacy Technician in a managed care environment.
• Experience handling prior authorizations and mandatory audits across Medicare, Medicaid, Commercial, Individual, and ASO plans.
• Strong knowledge of pharmacy benefits, claims processing, medication utilization management, and health plan operations.
• Working knowledge of medical terminology, HCPCS, CPT, and ICD-10 coding.
• Knowledge of pharmacy billing, pharmaceutical calculations, and medication management programs.
• Understanding of HIPAA, federal and state pharmacy regulations, and fraud, waste, and abuse prevention.
• Excellent verbal, written, analytical, problem-solving, and customer service skills.
• Ability to manage multiple priorities and work independently in a fast-paced environment.
• Strong attention to detail and commitment to accuracy.

Preferred Qualifications

• Bachelor's Degree.
• Managed care pharmacy experience.
• Experience supporting pharmacy benefit administration and health plan operations.
• Experience with data analysis, reporting, and quality improvement initiatives.

For more details contact at View email address on ziprecruiter.com or Call / Text at View phone number 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.