Pharmacy Tech I (US)
Core
Interpret and data entry of basic prescriptions, process prior authorizations, and troubleshoot adjudication issues for pharmacy members.
Role type
Pharmacy Technician I (US)
Builds
Data entry for pharmacists, prior authorization determinations, compliance reports, and member education on prescription rules.
Domain
Healthcare / Pharmacy Benefit Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Prescription data entry, prior authorization processing, Medicare compliance, grievance and appeals resolution, formulary inquiry response, report generation, record keeping
Preferred skills
Oral and written communication, problem-solving, facilitation, analytical skills
Technologies
None explicitly stated
Responsibilities
Verify member information and input data for pharmacists; process prior authorization requests from physician offices; provide resolution to grievances and appeals; respond to inquiries from physicians, sales team, and members regarding formulary and prescription benefits; generate reports relating to rebates, physician utilization, and Beers Criteria; maintain record keeping of prior authorizations and monthly reports.
Seniority
Entry-level, non-management