Remote PBM Prior Authorization Pharmacy Technician

Job Title: Remote PBM Prior Authorization Pharmacy Technician Pay: $20 an hr Bi-weekly Job Type: Remote Start date: 11/10/25 Shift Options: Training Dates: 11/10/2025-12/30/2025 8a-4:30pm CST M-F Holidays during training (No Training on these dates): 11/27 & 12/25 Schedule Times: This position follows a standard 8.5-hour workday, which includes two 15-minute breaks and one 30-minute lunch. After completing training, employees will receive a permanent and consistent schedule at that time. Daily 8-hour shifts are assigned based on business needs. Shifts will be based on business needs and determined towards the end of training. Remote PBM Prior Authorization Pharmacy Technician Overview: This is a high-volume inbound call position responsible for providing professional and courteous assistance to members, providers, and other callers. The role centers on supporting the criteria-based prior authorization process by reviewing clinical information and ensuring accurate documentation of all determinations. Key Responsibilities: Handle incoming calls from members, providers, and other healthcare professionals. Deliver exceptional customer service while guiding callers through the prior authorization process. Review clinical documentation to determine completeness and eligibility based on established criteria. Accurately document all approvals and denials in a timely manner. Escalate clinical judgment calls and complex inquiries to the pharmacist for further evaluation. Maintain compliance with regulatory requirements and internal protocols. Remote PBM Prior Authorization Pharmacy Technician Qualifications: Minimum of 1 year of experience as a pharmacy technician in an support or call center role. National Pharmacy Certification or State License is PREFERRED in good standing Eligible for state registration, certification, or licensure as PREFERRED by state regulations. Strong computer skills, including proficiency in word processing and spreadsheet applications. Excellent verbal and written communication skills. At least 1 year of experience in a high-volume customer service or healthcare call center environment. Remote PBM Prior Authorization Pharmacy Technician Benefits: Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance. A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates. How to Apply: If you are interested in this position, please apply OR submit your resume to: Saw Hlaing