Job Title: Remote Pharmacy Technician
Job Description
This role focuses on tracking and triaging coverage determination requests for prior authorizations, primarily for Medicare Part D recipients. The Pharmacy Technician I supports the pharmacy benefit management process by reviewing requests, gathering clinical information, and documenting decisions in the pharmacy benefit management (PBM) system while providing clear communication to providers, members, and internal stakeholders.
Responsibilities

+ Track and triage coverage determination requests submitted by providers for prior authorizations, particularly for Medicare Part D recipients.

+ Review incoming coverage determination requests and determine whether a pharmacist’s clinical review is required based on established guidelines.

+ Obtain verbal authorizations from prescribers and request detailed clinical information needed to support coverage determination decisions.

+ Approve covera...