New York Licensed Senior Pharmacy Technician

Job Summary

Assisting with complex care coordination for New York Medicaid members, the full-time remote New York Licensed Senior Pharmacy Technician will evaluate prior authorization requests, educate providers on pharmacy benefits, and ensure compliance with documentation standards.

Key responsibilities

• Evaluate and process prior authorization requests, applying clinical criteria and communicating decisions to stakeholders
• Lead care coordination efforts, including provider outreach and claim resolution, to support continuity of care
• Provide guidance to providers on formulary coverage and Medicaid program requirements

Required qualifications

• High school diploma or equivalent GED
• 2 years of work experience as a pharmacy technician
• Valid pharmacy technician certification (CPT/ExCPT/LPT/PTCB/RPT) and compliance with state requirements
• Strong knowledge of specialty injectable prescription drugs and formulary management techniques
• Proficiency in pharmacy systems and Microsoft Office products