Certified Pharmacy Technician

Job Summary

To support a growing appeals team, the temp-to-hire Appeals Technician will manage incoming requests for first, second level, and external appeals while ensuring high levels of customer service and productivity in a remote environment.

Key responsibilities:

• Maintain quality and productivity standards for all cases reviewed, ensuring compliance with established turnaround times
• Review cases to verify qualifications for appeal review and perform quality checks in accordance with policies and procedures
• Communicate effectively with appeal pharmacists and perform outreach to gather necessary information for case reviews

Required qualifications:

• 1+ year of experience as a certified pharmacy technician in a managed care or PBM setting
• Active, unrestricted PTCB or NHA Certified Pharmacy Technician certification
• Strong organizational skills and attention to detail
• Ability to work independently in a remote, high-volume environment with shifting priorities
• Availability to work from 12pm-9pm EST