Pharmacy Technician - Specialty
Core
Support specialty pharmacy members and providers with prior authorizations, medication navigation, and benefit inquiries via phone, chat, and email.
Role type
Specialty Pharmacy Technician (CPhT)
Builds
Patient assistance program enrollments, prior authorization workflows, and medication adherence support
Domain
Healthcare / Pharmacy Benefit Management (PBM)
Deliverable
client delivery
Required skills
Certified Pharmacy Technician (CPhT), pharmacy claims adjudication knowledge, benefit design terminology, multi-tasking, independent work
Preferred skills
Spanish language proficiency, Associate's or Bachelor's degree
Technologies
Rightway app, telephony/chat systems
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 questions from members, HR, pharmacies, and providers regarding benefits and costs; Support clinical pharmacists with patient outreach and appointment scheduling; Conduct quality reviews of calls and documentation.
Seniority
Entry-level to Mid-level (1-2 years experience)