Certified Pharmacy Technician in Saint Paul, MN

This opportunity is for an experienced Pharmacy Technician specialized in utilization management within a remote setting. The role requires expertise in handling Part B drug prior authorizations, with a focus on ensuring efficient medication benefit utilization under company policies.

Key Responsibilities:

• Review and determine prior authorization requests using established decision trees and policies.
• Process incoming prior authorization submissions from healthcare providers.
• Collaborate with providers to apply preferred product strategies for Part B medications.
• Communicate with hospitals and provider offices to obtain necessary clinical documentation.
• Serve as a liaison between internal teams, providers, and members to communicate clinical decisions.
• Address member inquiries regarding alternative treatment options.
• Support medical management operations that enable high-quality clinical decisions.
• Assist offshore clinical partners and manage specialty pharmacy overrides for accurate claim processing.

Desired Experience & Qualifications:

• Minimum of 2 years of experience in utilization management as a Pharmacy Technician or completion of a managed care residency.
• Comprehensive understanding of Part B drug prior authorizations.
• Bilingual proficiency in spoken and written English and Spanish is required.
• Active pharmacy technician license in at least one state.
• Availability to work Central Standard Time (CST) hours.

Schedule:

• Monday to Friday, 10:00 AM to 7:00 PM EST (9:00 AM to 6:00 PM CST)
• Rotating weekend on-call shifts

Location: Remote position

Additional Information:

• Equipment will be provided by the client.
• Contract to hire arrangement with training commencing December 1.

Qualified candidates looking to leverage their utilization management skills in a flexible, remote environment with growth potential are encouraged to apply. Take the next step in your pharmacy technician career by submitting your application today.

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.