Pharmacy Technician – Prior Authorization

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Shields Health Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2011

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

Healthcare Insurance • Pharmaceuticals • SaaS

Shields Health Solutions is a company that specializes in providing integrated specialty pharmacy solutions. They focus on eliminating disruptions in patient care by offering a comprehensive model that bridges the gap between patients and the specialty medications they need. Shields Health Solutions partners with healthcare providers and drug manufacturers to optimize the impact of specialty pharmacy services. Their approach leverages a clinical model, expert care teams, and a proprietary technology platform to improve patient access to specialty drugs, while reducing the overall cost of care. Shields Health Solutions aims to enhance patient experiences and health outcomes through their innovative solutions in specialty pharmacy integration.

📋 Description

• Work with insurance companies to obtain medication approvals. • Use pharmacy systems to enter data, run test claims, and manage follow-up actions. • Document patient needs, authorization status, and assistance efforts across systems and EMRs. • Communicate with prescribers to ensure accurate and appropriate prescriptions. • Maintain detailed records of all patient interactions. • Assist patients with insurance claims and medication adherence over the phone. • Partner with pharmacists and liaisons to support coordinated patient care. • Research information to support decisions and operational improvements. • Manage and update data in relevant databases. • Identify issues, recommend solutions, and participate in process improvement initiatives. • Maintain confidentiality and ongoing professional development. • Perform additional duties as needed; minimal travel may be required.

🎯 Requirements

• State-registered (New Mexico) Pharmacy Technician; CPhT required. • 2+ years of experience as a pharmacy technician; High School Diploma or GED • Strong communication, organization, and tech skills • Empathy, integrity, and a team-first mindset

🏖️ Benefits

• Medical, dental, and vision insurance starting day one • 401(k) with match, 4 weeks PTO, 10 paid holidays • Paid parental leave, short-term disability, and professional development • Access to employee resource groups and wellness programs