Certified Pharmacy Technician - MA

Job Summary

Supporting Rhode Island Medicaid and other state pharmacy programs, the full-time Certified Pharmacy Technician - MA will manage pharmacy claims, prior authorizations, and provider support in a fully remote environment.

Key responsibilities

• Maintain relationships with state agency personnel and support eligibility updates, reporting, and formulary activities
• Review and process pharmacy prior authorization requests in line with established criteria and regulatory requirements
• Research and resolve inquiries from members, providers, and pharmacies while documenting activities accurately

Required qualifications

• Active Certified Pharmacy Technician credential (PTCB/CPhT, ExCPT, or equivalent) required
• Two or more years of relevant pharmacy technician experience, preferably in managed care or related healthcare environments
• Experience with pharmacy prior authorizations, prescription claims, and medication terminology
• Familiarity with POS claims, HCPCS, and pharmacy program operations is highly desirable
• Strong research and organizational skills with the ability to navigate multiple systems in a fast-paced remote environment