Pharmacy Technician II
Core
Interpret and data entry moderately complex prescriptions, manage prior authorizations, troubleshoot adjudication issues, and generate utilization reports for pharmacy members.
Role type
Pharmacy Technician II (Data & Authorization Specialist)
Builds
Pharmacy benefit administration workflows and member support
Domain
Health Insurance / Pharmacy Benefit Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Prescription interpretation, data entry, prior authorization processing, Medicare compliance, grievance/appeals resolution, formulary knowledge, report generation
Preferred skills
Retail pharmacy experience, specialty pharmacy experience
Technologies
Pharmacy management systems, Medicare adjudication platforms
Responsibilities
Verify member information and input prescription data, process prior authorization requests from physician offices, provide resolution to grievances and appeals, respond to inquiries regarding formulary and prescription benefits, generate reports on rebates and physician utilization