Certified Pharmacy Tech | Minneapolis, Minnesota

A Remote Pharmacy Technician position is available supporting utilization management and prior authorization processes for part B medications. This contract-to-hire role starts December 1 with training provided and requires working Monday through Friday from 10am to 7pm EST (9am to 6pm CST), including rotating weekend on-call shifts.

Key Responsibilities:

• Review and determine prior authorization requests in accordance with company policies and decision trees.
• Process incoming prior authorization requests from provider offices efficiently.
• Apply preferred product strategies and collaborate with providers to guide usage of part B medication benefits.
• Communicate with hospitals, provider offices, and members to obtain clinical documentation and share clinical decisions.
• Address member questions regarding alternative treatment options.
• Support medical management processes to enable efficient decision-making by pharmacists and physicians.
• Serve as a main point of contact for internal and external stakeholders.
• Collaborate with offshore clinical partners.
• Interpret plan benefits and manage specialty pharmacy overrides for proper claim adjudication.

Desired Qualifications:

• Minimum of 2 years’ experience in utilization management or completion of a managed care residency.
• In-depth knowledge of Part B drugs and prior authorization procedures.
• Active pharmacy technician license in at least one state.
• Bilingual proficiency in English and Spanish, both written and spoken.
• Ability to work Central Standard Time hours.

Location: Remote (candidate must work CST hours)

This opportunity offers all necessary equipment provided by the client. Candidates with strong clinical communication skills and experience in managed care pharmacy are encouraged to apply.

Submit your application today to take the next step in your pharmacy technician career supporting specialized medication management in a remote setting. This contract-to-hire role provides a chance to grow within an innovative healthcare environment.

Compensation for this position ranges from $14.00 to $21.00. 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.