Specialty Pharmacy Technician, Prior Authorization

CenterWell Senior Primary Care

Specialty Operations Pharmacy Technician managing prior authorization requests for specialty medications while ensuring compliance and high-quality patient care. Remote opportunity available in multiple states.

Posted 6/6/2026full-timeRemote • Arizona, Florida, Ohio, Texas • 🇺🇸 United StatesJuniorMid-Level💰 $40,000 - $52,300 per yearWebsite

About the role

Key responsibilities & impact

Perform varied activities and moderately complex administrative/technical/operational/customer support assignments
Manage daily worklists, conducting follow-ups, and prioritizing authorization requests
Research and interpret insurance claims while using a broad array of clinical and informational resources
Work directly with physician offices to initiate and complete prior authorization requests
Ensure compliance with quality standards and departmental protocols
Support the delivery of high-quality patient care and operational excellence

Requirements

What you’ll need

Must have an active license with the Board of Pharmacy in the state of residence (Ohio, Florida, Texas or Arizona)
Must be certified by the Pharmacy Technician Certification Board (PTCB) or through ExCPT with an active certification
Must be able to research, read & interpret clinical information
Critical thinker who can anticipate member/customer needs and take initiative, ask the right questions and deliver the highest quality customer experience
Problem solver who can find viable solutions that meet member/customer needs, absent from all ideal tools
Experience using multiple applications simultaneously and data entry skills
2+ years of experience as a Pharmacy Technician OR call center experience in a pharmacy or related call center setting
Mail Order Pharmacy or Specialty Pharmacy experience
Experience working with insurance plans and Medicare
1+ years of experience submitting and reading pharmacy claims, in RxNova
Experience with Scriptmed

Benefits

Comp & perks

Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

data entryinsurance claims interpretationprior authorization requestsclinical information researchpharmacy claims submissionRxNovaScriptmed

Soft Skills

critical thinkingproblem solvinginitiativecustomer experience delivery

Certifications

active pharmacy licensePharmacy Technician Certification Board (PTCB)ExCPT certification