This remote Pharmacy Technician role offers the opportunity to work in a dynamic environment supporting Medicare Part B medication prior authorizations and utilization management processes. The position requires a strong background in pharmacy technician duties, particularly related to prior authorization and working with the Medicare population. This is a temp-to-hire contract with a defined six-month duration.
Location: Remote (open to candidates nationwide)
Schedule:
- Monday to Friday, 11:30 AM – 8:00 PM ET or 9:30 AM – 6:00 PM ET
- Mandatory rotating weekends
- No days off permitted except emergencies from 01/01/27 to 03/31/27
Responsibilities:
- Review and process prior authorization requests following established policies and decision trees
- Triage and enter incoming prior authorization requests from provider offices
- Support Medicare Part B medication prior authorizations and preferred product strategies
- Obtain clinical documentation from providers and hospitals needed for authorization reviews
- Communicate authorization decisions and provide follow-up to providers and members
- Assist with alternative treatment options when required
- Provide operational support to Pharmacy Technicians, Pharmacists, and Physicians to ensure timely, accurate decisions
- Serve as a liaison for internal teams, external providers, and operational partners
- Support offshore clinical partners involved in utilization management pharmacy workflows
- Interpret plan benefits and enter specialty pharmacy overrides to support claim adjudication
Qualifications:
- Pharmacy Technician Certification Board (PTCB) certification required
- Minimum of 3 years pharmacy technician experience
- Experience with Medicare Part B operations, preferably including utilization management, prior authorizations, medical benefits, or pharmacy help desk experience
- Direct experience working with the Medicare population highly preferred
- Strong computer and technology skills including proficiency with multiple systems and Google Workspace/G Suite
- High level of attention to detail and strong organizational skills
- Excellent verbal and written communication skills
- Prior utilization management and prior authorization experience strongly preferred
Additional Details:
- All necessary equipment will be provided
- Temp-to-hire contract duration: October 1, 2026 – March 31, 2027
Interested candidates with relevant Medicare Part B and utilization management experience are encouraged to apply to join a supportive and fast-paced pharmacy team focused on impactful patient care.
Compensation for this position ranges from $18.50 to $29.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled
- Competitive Salary
- Weekly Paycheck
- Matching 401(k) Plan
- Extensive Medical Coverage
- Licensing Assistance
- Custom Housing
- Travel Assistance
- Professional Development Reimbursement