Prior Authorization Pharmacy Technician, Massachusetts Pharmacy License

🕒 September 30

🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $20 - $22 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

🚫👨‍🎓 No degree required

👻 Ghost score 14%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 46 days.
• Jobs at this company usually fill in 21 days.

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Shields Health Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2011

💼 Consulting

📦 Logistics

🏥 Healthcare

Consulting • Logistics • Healthcare

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

• Communicate directly with insurance companies to facilitate medication approvals through prior authorizations • Help patients access financial assistance through foundations, manufacturer programs, and other funding resources • Navigate pharmacy operating systems to enter data, adjudicate claims, process refills, and create follow-up action plans • Document patient concerns, prior authorization status updates, and financial assistance needs across databases, electronic medical records, and email systems • Collaborate with physicians' offices to ensure timely and appropriate medication therapy • Maintain complete and accurate records of patient communications and case activity • Assist patients in managing pharmacy insurance claims and resolving coverage-related issues • Partner with pharmacists and pharmacy liaisons to deliver coordinated, high-quality patient care • Provide phone support to patients and improve medication adherence and compliance • Research, investigate, and analyze information to support decision-making and problem resolution • Manage, organize, and maintain data within database applications • Identify trends, recommend process improvements, and contribute to operational excellence initiatives • Serve as a trusted business partner to organizational stakeholders • Protect confidential information and maintain compliance with privacy requirements • Remain current on industry knowledge through continuing education, professional publications, and networking • Travel occasionally as business needs require • Perform other duties as assigned

🎯 Requirements

• Minimum 1 year of Pharmacy Technician experience • Strong customer service and patient communication skills • Experience working with insurance claims, medication access, prior authorizations, or pharmacy operations preferred • High School Diploma or GED required • Massachusetts State Registered and/or State Certified Pharmacy Technician, where applicable • National certification (CPhT or equivalent) strongly preferred but not required • If the candidate's state of residence does not offer pharmacy technician registration, national certification is required at the time of hire • Must obtain additional required credentials within a mutually agreed-upon timeframe, if applicable • Continued employment is contingent upon maintaining required licensure and certification requirements • Solid computer skills required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint), internet, and web-based platforms • Data entry and computer skills will be evaluated through a pre-employment assessment

🏖️ Benefits

• Hourly pay range of $20.00–$22.00 per hour • Continuing education, professional publications, and networking opportunities • Equal employment opportunities • Inclusive hiring experience and application/interview assistance or accommodation • Occasional travel as business needs require

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