Search Remote Jobs

Prior Authorization Pharmacy Technician

🔥 0 minutes ago

🌲 Oregon – Remote

infoinfo

đź’µ $38.4k - $54.9k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

đź’Š Pharmacist

Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of Gainwell Technologies

Gainwell Technologies

10,000+ employees

đź’Ľ Consulting

📦 Logistics

⚕️ Healthcare Insurance

đź’° Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

đź“‹ Description

• Handle inbound and outbound calls related to prior authorization requests and provider inquiries • Accurately process and document prior authorization requests within required timeframes • Provide courteous and knowledgeable support to healthcare providers via phone, email, fax, and web • Ensure communications and data handling comply with HIPAA and internal confidentiality protocols • Collaborate with cross-functional teams to resolve issues and improve service delivery • Support pharmacy benefit management services by managing provider inquiries and prior authorizations

🎯 Requirements

• At least 2 years of experience as a pharmacy technician in retail, hospital, managed care, insurance, or PBM • Active pharmacy technician license • Strong communication, documentation, and problem-solving skills • Proficient in Microsoft Office, email, and internet usage • Comfortable working in a fast-paced, team-oriented, call center environment • Ability to comply with HIPAA and internal confidentiality protocols

🏖️ Benefits

• Flexible work hours • Work-life balance • Continuous learning and career development • Scheduling flexibility based on business and operational needs • Ongoing training and development • Medical insurance • Dental insurance • Vision insurance • 401(k) with employer match • Paid time off • Flexible vacation policy • Educational assistance • Leadership and technical development academies • Other employee support programs

Apply Now

Similar Jobs

🔥 7 hours ago

HarmonyCares

1001 - 5000

🏥 Healthcare

⚕️ Healthcare Insurance

Remote CPhT handling medication renewals for HarmonyCares’ in-home primary care patients. Supporting centralized patient advocacy, EMR documentation, and prescription workflows.

🇺🇸 United States – Remote

đź’µ $22 - $25 / hour

đź’° Venture Round on 2021-11

⏰ Full Time

🟡 Mid-level

đźź  Senior

đź’Š Pharmacist

🔥 11 hours ago

Providence

10,000+ employees

đź’Ľ Consulting

🛡️ Insurance

🏥 Healthcare

Prescription renewal representative processing refill requests for Providence Swedish, a nonprofit healthcare system. Liaising with patients, physicians, and pharmacies while supporting patient satisfaction.

🔥 13 hours ago

House Rx

11 - 50

🏥 Healthcare

⚕️ Healthcare Insurance

🧬 Biotechnology

RPh Supervisor leading distributed specialty pharmacists across oncology, GI, and rheumatology pods. Standardizing training, coverage, workflows, compliance, and performance for House Rx’s clinic dispensing platform.

🇺🇸 United States – Remote

đź’µ $150k - $200k / year

đź’° $25M Series A on 2022-03

⏰ Full Time

🟡 Mid-level

đźź  Senior

đź’Š Pharmacist

🔥 17 hours ago

TrueScripts Management Services

51 - 200

🏥 Healthcare

đź’Ľ Consulting

⚕️ Healthcare Insurance

Clinical Pharmacist optimizing medication utilization and cost-containment programs for TrueScripts, a transparent prescription benefit manager. Analyzing clinical and financial outcomes while supporting PBM operations.

đź•’ Yesterday

Alignment Health

501 - 1000

⚕️ Healthcare Insurance

🛡️ Insurance

🏥 Healthcare

Clinical Pharmacist reviewing Medicare Part D coverage determinations, appeals, and MTM services. Supporting Alignment Health’s senior-focused managed care and pharmacy quality programs.

🇺🇸 United States – Remote

đź’µ $113.3k - $170k / year

đź’° $135M Series C on 2020-03

⏰ Full Time

🟢 Junior

đź’Š Pharmacist