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Capital Rx

Customer Care Pharmacy Technician – Full-Time

Capital Rx

Customer Care Pharmacy Technician serving members by handling calls and prior authorization inquiries. Ensuring quality care and communication at Judi Health.

Posted 6/25/2026full-timeRemote • Hawaii • 🇺🇸 United StatesJuniorMid-Level💰 $28 per hourWebsite

About the role

Key responsibilities & impact
  • Act as the primary point of contact for incoming member calls, prior authorization inquiries, and ensure appropriate escalation of cases and all intake notes to the Clinical Prior Authorization Team
  • Actively intake a thorough and complete prior authorization request from prescribers and members by asking applicable drug and client-specific clinical questions
  • Accurately advise callers on options for exception requests (formulary, copay, early refill, etc.) based on client benefit elections and provide additional information and status updates to prescribers, members, and pharmacies
  • Efficiently triage incoming calls with professional phone etiquette from members, prescribers, and pharmacies with minimal support. Ask probing questions to identify and resolve all issues and address concerns promptly
  • Act as a valuable resource for Customer Service Representatives supporting member and pharmacy inquiries, stepping in as needed based on demand. Proactively identify, document, and address member and pharmacy concerns to ensure everyone receives the care and attention they deserve
  • Effectively communicate issues and solutions to members, pharmacies, and relevant internal stakeholders to ensure customers receive quality care and that the resolution meets all health and safety standards
  • Ensure customer satisfaction, extraordinary customer care, and quality resolution with genuine compassion in a fast-paced environment
  • Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies
  • Assist with onboarding and training of new team members or temporary staff as needed
  • Support the Fraud, Waste, and Abuse program by reviewing pharmacy claims information and communicating findings to appropriate internal staff
  • Collaborate across different systems while utilizing up to two monitors, efficiently multitasking in a dynamic and fast-paced environment
  • Self-starter who displays a positive attitude, strong work ethic, and excellent attendance
  • Meet all departmental goals including schedule adherence, attendance, and quality monitoring
  • Standard hours for training: Monday thru Friday, 9:00 am – 5:30 pm, Eastern
  • Perform other customer support duties as assigned
  • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance

Requirements

What you’ll need
  • High school diploma or the equivalent; associate or bachelor’s degree preferred
  • A current National Certification as a Pharmacy Technician (CPhT) and a valid license are required
  • 2+ years of pharmacy technician experience in a clinical pharmacy setting PBM, Health Plan, or related Health Care experience required
  • 2+ years of customer service experience with a passion for building customer loyalty through exceptional listening, relationship building, and strong written and verbal communication
  • Experience handling prior authorization requests/understanding of prior authorization requirements preferred
  • Ability to work independently with minimal supervision, stay productive in a remote, high-volume, fast-paced, metric-driven call center environment
  • Tech-savvy with proficiency in CRM systems, call center platforms, and Microsoft Office Suite.
  • Demonstrated ability to meet performance metrics including call quality, resolution time, and customer satisfaction
  • Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location.1 Gig plan required. Dial-up, satellite, WIFI, 5G or Cellular connections are NOT acceptable.

Benefits

Comp & perks
  • 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Capital Rx Website LinkedIn All Job Openings 501 - 1000 employees Founded 2017 ⚕️ Healthcare Insurance 💳 Fintech 🤖 Artificial Intelligence Healthcare Insurance
  • Fintech
  • Artificial Intelligence Capital Rx is the fastest growing healthtech company in America, dedicated to transforming the prescription pricing and patient care landscape. Founded in 2017, it offers innovative pharmacy benefit management (PBM) services, including customizable pharmacy benefits for large employers and an AI-powered care navigation platform. Capital Rx focuses on delivering cost-effective solutions and operational efficiencies to clients while ensuring transparency and quality care for patients. Customer Care Pharmacy Technician – Full-Time 🔥 1 hour ago 🌺 Hawaii – Remote 💵 $28 / hour ⏰ Full Time 🟢 Junior 🟡 Mid-level 💝 Customer Support 🚫👨‍🎓 No degree required Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
  • Act as the primary point of contact for incoming member calls, prior authorization inquiries, and ensure appropriate escalation of cases and all intake notes to the Clinical Prior Authorization Team
  • Actively intake a thorough and complete prior authorization request from prescribers and members by asking applicable drug and client-specific clinical questions
  • Accurately advise callers on options for exception requests (formulary, copay, early refill, etc.) based on client benefit elections and provide additional information and status updates to prescribers, members, and pharmacies
  • Efficiently triage incoming calls with professional phone etiquette from members, prescribers, and pharmacies with minimal support. Ask probing questions to identify and resolve all issues and address concerns promptly
  • Act as a valuable resource for Customer Service Representatives supporting member and pharmacy inquiries, stepping in as needed based on demand. Proactively identify, document, and address member and pharmacy concerns to ensure everyone receives the care and attention they deserve
  • Effectively communicate issues and solutions to members, pharmacies, and relevant internal stakeholders to ensure customers receive quality care and that the resolution meets all health and safety standards
  • Ensure customer satisfaction, extraordinary customer care, and quality resolution with genuine compassion in a fast-paced environment
  • Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies
  • Assist with onboarding and training of new team members or temporary staff as needed
  • Support the Fraud, Waste, and Abuse program by reviewing pharmacy claims information and communicating findings to appropriate internal staff
  • Collaborate across different systems while utilizing up to two monitors, efficiently multitasking in a dynamic and fast-paced environment
  • Self-starter who displays a positive attitude, strong work ethic, and excellent attendance
  • Meet all departmental goals including schedule adherence, attendance, and quality monitoring
  • Standard hours for training: Monday thru Friday, 9:00 am – 5:30 pm, Eastern
  • Perform other customer support duties as assigned
  • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance 🎯 Requirements
  • High school diploma or the equivalent; associate or bachelor’s degree preferred
  • A current National Certification as a Pharmacy Technician (CPhT) and a valid license are required
  • 2+ years of pharmacy technician experience in a clinical pharmacy setting PBM, Health Plan, or related Health Care experience required
  • 2+ years of customer service experience with a passion for building customer loyalty through exceptional listening, relationship building, and strong written and verbal communication
  • Experience handling prior authorization requests/understanding of prior authorization requirements preferred
  • Ability to work independently with minimal supervision, stay productive in a remote, high-volume, fast-paced, metric-driven call center environment
  • Tech-savvy with proficiency in CRM systems, call center platforms, and Microsoft Office Suite.
  • Demonstrated ability to meet performance metrics including call quality, resolution time, and customer satisfaction
  • Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location.1 Gig plan required. Dial-up, satellite, WIFI, 5G or Cellular connections are NOT acceptable. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Customer Support Tech II 🔥 1 hour ago Verisk 5001 - 10000 Website LinkedIn All Job Openings Customer Care Agent assisting customers with functional and technical support. Resolving issues and enhancing customer experience in a fast-paced environment 🇺🇸 United States – Remote 💵 $35k - $50k / year 💰 $500M Post-IPO Debt on 2023-03 ⏰ Full Time 🟡 Mid-level 🟠 Senior 💝 Customer Support 🦅 H1B Visa Sponsor Customer Support Specialist 🔥 1 hour ago CharterUP 51 - 200 🚗 Transport 🤝 B2B 🤝 Non-profit Website LinkedIn All Job Openings Customer Support Specialist at CharterUP assisting with customer inquiries and ensuring seamless customer experiences. Collaborating with various teams in a fast-paced remote-first environment. 🇺🇸 United States – Remote 💵 $26 / hour 💰 $60M Series A on 2022-10 ⏰ Full Time 🟢 Junior 🟡 Mid-level 💝 Customer Support 🚫👨‍🎓 No degree required Customer Service Representative – Behavioral Health 🔥 1 hour ago CVS Health 10,000+ employees ⚕️ Healthcare Insurance 🛒 Retail 🧘 Wellness Website LinkedIn All Job Openings Customer Service Representative advocating for members' mental health with CVS Health's Behavioral Health team. Handling inquiries, supporting claims understanding, and facilitating member education. 🇺🇸 United States – Remote 💵 $17 - $31 / hour ⏰ Full Time 🟢 Junior 💝 Customer Support 🚫👨‍🎓 No degree required Customer Service Representative 🔥 1 hour ago CVS Health 10,000+ employees ⚕️ Healthcare Insurance 🛒 Retail 🧘 Wellness Website LinkedIn All Job Openings Customer Service Representative assisting customers in understanding their healthcare benefits and resolving claims issues. Engaging and empathetic interactions to enhance customer satisfaction. 🇺🇸 United States – Remote 💵 $18 / hour ⏰ Full Time 🟢 Junior 💝 Customer Support 🚫👨‍🎓 No degree required Customer Service Representative 🔥 1 hour ago CVS Health 10,000+ employees ⚕️ Healthcare Insurance 🛒 Retail 🧘 Wellness Website LinkedIn All Job Openings Customer Service Representative supporting CVS Health customer inquiries and benefits. Engaging with customers to resolve issues and educate them about their benefits. 🇺🇸 United States – Remote 💵 $18 / hour ⏰ Full Time 🟢 Junior 💝 Customer Support 🚫👨‍🎓 No degree required View More Customer Support Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools
pharmacy technician experienceprior authorization requestscustomer servicecall qualityresolution timecustomer satisfactionrelationship buildingwritten communicationverbal communication
Soft Skills
active listeningproblem-solvingmultitaskingindependencepositive attitudestrong work ethiccompassionteam collaborationadaptability
Certifications
National Certification as a Pharmacy Technician (CPhT)valid pharmacy technician license