Certified Pharmacy Technician - job 1 of 14

Job Summary

A company is looking for a Clinical Prior Authorization Technician to manage prior authorization requests and ensure compliance with clinical guidelines.

Key Responsibilities

• Prepare and validate prior authorization requests, ensuring compliance with clinical guidelines
• Make outbound calls to providers to gather necessary clinical information for pharmacist review
• Review pharmacy claims data for proactive outreach and escalate provider concerns as needed

Required Qualifications

• 2+ years of pharmacy technician experience in a clinical pharmacy setting
• Experience with prior authorization requests and requirements
• National Certified Pharmacy Technician (CPhT) license is required
• High school diploma or equivalent; Associate's or bachelor's degree preferred
• Ability to work independently in a remote, high-volume environment