Connecticut Licensed Pharmacy Technician

Job Summary

A company is looking for a Pharmacy Prior Authorization Representative to support the Connecticut Medicaid account in a remote call center environment.

Key Responsibilities

• Serve as the primary contact for prescribers and pharmacies regarding pharmacy claims and prior authorization inquiries
• Analyze pharmacy claims and provide accurate clarification and resolution to provider inquiries
• Process prior authorization requests and document rationale in accordance with policy

Required Qualifications

• Knowledge of pharmacy claims processing and pharmacy dispensing systems, with exposure to Medicaid and/or Medicare Part D programs
• Active Connecticut Pharmacy Technician license
• Prior retail pharmacy or customer service experience
• Ability to work effectively in a high-paced, high-volume environment
• Proficiency with Microsoft Office Suite and experience in a technology-driven environment