Position Overview
Job Title: Pharmacy Technician
Job Description
The Pharmacy Technician supports pharmacy operations including prior authorizations, formulary management, claims processing, audit/recovery, and Medicare Part D/Part B programs. This role partners with pharmacists, providers, and members to ensure accurate, compliant, and timely handling of pharmacy benefits.
Responsibilities
Review and process prescription drug and pharmacy benefit requests in accordance with guidelinesSupport prior authorizations, coverage determinations, and appeals processingResearch and resolve issues related to claims, benefits, and formulary coverageMaintain and update formulary data, including change requests and auditsPerform pharmacy audit and recovery activities, including claim discrepancy reviewCommunicate with providers, pharmacies, and members via phone, fax, and emailDocument activities accurately in clai...