Pharmacy Tech I - prior authorization

No preference on time zone for candidates.



Safety Sensitive

RAMP ROLE

Timeline:

Class start: 11/10/25

Cleared by: 10/31/25

Offer acceptance: 10/10/25

Offer by: 10/6/25



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.



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.



Required 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.



Position Summary:



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.



Requirements:

Minimum of 1 year in healthcare as a pharmacy technician (or comparable related role), and high call center type of environment (preferably in the medical field)

National Pharmacy Certificate or State License is PREFERRED

Strong computer skills, including proficiency in word processing and spreadsheet applications.

Excellent verbal and written communication skills.



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.



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



Duties:



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.



Experience:



Minimum of 1 year in healthcare as a pharmacy technician (or comparable related role), and high call center type of environment (preferably in the medical field)

National Pharmacy Certificate or State License is PREFERRED

Strong computer skills, including proficiency in word processing and spreadsheet applications.

Excellent verbal and written communication skills.



Education:



Verifiable High School diploma or GED is required.

National Pharmacy Certification or State License is PREFERRED in good standing