Utilization Management Pharmacy Technician

Job Summary

A company is looking for a Utilization Management Pharmacy Technician.

Key Responsibilities

• Facilitate utilization management requests for coverage and enter authorizations into the claims platform
• Support members in specialty management programs, coordinating prior authorizations and prescription fulfillment
• Ensure compliance with State and Federal guidelines and participate in quality review processes

Required Qualifications

• Associate's or Bachelor's degree preferred
• 1-2 years of experience in a pharmacy technician role within a PBM or similar managed care setting
• Active Certified Pharmacy Technician (CPhT)
• Knowledge of pharmacy claims adjudication and benefit designs
• Ability to work independently and prioritize tasks effectively