Pharmacy Technician - Specialty
Core
Support specialty clinical pharmacists by engaging with members to manage prior authorizations, coordinate prescription fulfillment, and provide navigation for specialty pharmacy benefits.
Role type
Specialty Pharmacy Technician (CPhT)
Builds
Member support workflows for specialty medication access and adherence
Domain
Healthcare / Pharmacy Benefit Management (PBM)
Deliverable
client delivery
Required skills
Prior authorization processing, patient assistance program enrollment, claims adjudication knowledge, benefit design terminology, multi-tasking, independent work
Preferred skills
Spanish language proficiency, experience in specialty pharmacy or managed care
Technologies
Rightway app, telephone, email, chat, fax
Responsibilities
Handle prior authorization requests and coordinate with utilization management teams, Follow up with members post-medication receipt to ensure satisfaction and coordinate refills, Field inquiries from members, HR, pharmacies, and providers regarding benefits and costs, Support pharmacists in scheduling appointments and medication adherence programs, Conduct quality reviews of calls and documentation
Seniority
Junior to Mid-level, hands-on IC