Certified Pharmacy Technician

Job Summary

To support efficient prior authorization operations, the remote Prior Authorization Systems Technician will maintain and configure PA criteria, validate system logic, and collaborate with cross-functional teams to ensure data integrity and compliance.

Key responsibilities:

• Evaluate and operationalize updates to formulary and utilization management criteria
• Maintain and configure prior authorization criteria and rules within the PA platform
• Perform structured validation and quality assurance of system configurations prior to deployment

Required qualifications:

• 4+ years of pharmacy technician experience in a PBM, health plan, or clinical pharmacy environment
• National Certified Pharmacy Technician (CPhT) certification required
• Demonstrated experience with prior authorization systems and clinical rule configuration
• Strong understanding of prior authorization workflows and clinical guidelines
• Proficiency in Microsoft Excel and Word, with the ability to work with structured data