Certified Pharmacy Technician

Job Summary

To support medication management, the full-time Certified Pharmacy Technician will review prior authorization requests remotely, assist in determining medical necessity for medications, and facilitate pharmacy claims from Monday to Friday, 10 AM to 6:30 PM Pacific Standard Time.

Key responsibilities

• Review and evaluate prior authorization requests against approved pharmacy criteria and request additional information as needed
• Accurately enter approvals or denials of medication requests and facilitate the prior authorization process in accordance with pharmacy policies
• Assist Molina member services and providers in resolving prescription claims and pharmacy service access issues

Required qualifications

• At least 2 years of pharmacy technician experience or an equivalent combination of education and experience
• Certified Pharmacy Technician (CPhT) and/or active state pharmacy technician license
• Proficiency in Microsoft Office Suite, including Excel, and applicable software programs
• Ability to maintain confidentiality and comply with HIPAA regulations
• Experience in managed care and prior authorization processes is preferred