Certified Pharmacy Technician

Job Summary

To support a dynamic healthcare environment, the remote Utilization Management Technician will prepare prior authorization requests, validate clinical information, and ensure compliance with clinical guidelines while providing exceptional customer service.

Key responsibilities:

• Prepare and validate prior authorization requests by ensuring accurate prescriber and member information
• Make outbound calls to providers to gather necessary clinical information for pharmacist review
• Review pharmacy claims data for proactive outreach and escalate provider concerns to the appropriate internal teams

Required qualifications:

• 2+ years of pharmacy technician experience in a PBM, health plan, or clinical pharmacy setting
• Experience handling prior authorization requests and understanding of related requirements
• National Certified Pharmacy Technician (CPhT) license is required
• High school diploma or equivalent; an Associate's or bachelor's degree is preferred
• Ability to work independently in a remote, high-volume call center environment