Pharmacy Benefit Technician

Sanford Health

Pharmacy Benefit Technician handling calls regarding pharmacy issues and prior authorizations. Responsible for processing requests and serving as a liaison with pharmacy benefit managers.

Posted 5/14/2026full-timeRemote • Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $18 - $29 per hourWebsite

About the role

Key responsibilities & impact

Responsible for following policies and procedures set within the pharmacy department to ensure that Members obtain appropriate medications in a timely, cost-effective, and efficient manner.
Requires use of and proficiency in multiple computer programs.
Handle calls from Members, pharmacies, and providers concerning pharmacy issues such as coverage, prior authorization, step therapy, networks, and overrides, and denial rationale.
Review incoming prior authorization request and contact provider's office, pharmacies, prior authorization department, or Member to clarify the intent of the prior authorization and identify any potential missing information.
Enter prior authorizations and formulary exception requests into referral form.
Review Plan policy to determine which requests need to be sent on the clinical pharmacist team for review.
Complete initial and benefit denial letters.
Serve as a liaison with the pharmacy benefit manager (PBM) in regards to pharmaceutical questions or issues that arise.
Serve as a resource for other departments within the health plan.
Meet and maintain all benchmark stats (prior authorizations, medical claims reviews, phone, approval, denial letters and CRM volume) while holding this position.

Requirements

What you’ll need

Pharmacy technicians must have a minimum of a high school diploma or equivalent.
Experience with inpatient and retail pharmacy utilization, as well as a broad knowledge of pharmacy practice is preferred, but not required.
Familiarity with computers and ability to work with multiple programs at the same time is required.
Must have excellent oral and auditory skills for productive interoffice dialogue and Member or provider interactions.
Must be nationally certified (CPhT designation), either through the Pharmacy Technician Certification Board (PTCB) or the National Healthcare Association (NHA).
South Dakota: Registration required within 30 days from the date of hire.
Technicians registered with South Dakota Board of Pharmacy after July 1, 2014 will be registered as a “technician-in-training” and will have two years to complete training education and national certification through the Pharmacy Technician Certification Board (PTCB).
Failure to obtain National Certification within two years of registering as a “technician-in-training” will result in termination of position.
Technicians registered with the South Dakota Board of Pharmacy after July 1, 2011 will be required to obtain National Certification through the Pharmacy Technician Certification Board by July 1, 2014.
Failure to obtain National Certification will result in termination of position.
Technicians registered with South Dakota Board of Pharmacy before July 1, 2011 will be grandfathered in and not require national certification through Pharmacy Technician Certification Board.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Sanford Health Website LinkedIn All Job Openings 10,000+ employees Founded 1894 ⚕️ Healthcare Insurance Healthcare Insurance Sanford Health is the largest rural health system in the United States, dedicated to transforming the healthcare experience and providing access to world-class healthcare in America's heartland. Headquartered in Sioux Falls, South Dakota, Sanford Health serves over 1. 4 million patients and nearly 200,000 health plan members across 250,000 square miles. The integrated health system includes 48 medical centers, 211 clinic locations, and more than 160 senior living centers, employing 2,900 physicians and advanced practice providers. Sanford Health is committed to offering compassionate care through its Centers of Excellence, focusing on specialties such as cancer, orthopedics, women’s health, and genetics. Additionally, it provides affordable health insurance, engages in extensive clinical trials, and supports personalized genetic medicine. Pharmacy Benefit Technician 🔥 7 minutes ago 🧀 Wisconsin – Remote 💵 $18 - $29 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 💻 IT Support 🦅 H1B Visa Sponsor Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Responsible for following policies and procedures set within the pharmacy department to ensure that Members obtain appropriate medications in a timely, cost-effective, and efficient manner.
Requires use of and proficiency in multiple computer programs.
Handle calls from Members, pharmacies, and providers concerning pharmacy issues such as coverage, prior authorization, step therapy, networks, and overrides, and denial rationale.
Review incoming prior authorization request and contact provider's office, pharmacies, prior authorization department, or Member to clarify the intent of the prior authorization and identify any potential missing information.
Enter prior authorizations and formulary exception requests into referral form.
Review Plan policy to determine which requests need to be sent on the clinical pharmacist team for review.
Complete initial and benefit denial letters.
Serve as a liaison with the pharmacy benefit manager (PBM) in regards to pharmaceutical questions or issues that arise.
Serve as a resource for other departments within the health plan.
Meet and maintain all benchmark stats (prior authorizations, medical claims reviews, phone, approval, denial letters and CRM volume) while holding this position. 🎯 Requirements
Pharmacy technicians must have a minimum of a high school diploma or equivalent.
Experience with inpatient and retail pharmacy utilization, as well as a broad knowledge of pharmacy practice is preferred, but not required.
Familiarity with computers and ability to work with multiple programs at the same time is required.
Must have excellent oral and auditory skills for productive interoffice dialogue and Member or provider interactions.
Must be nationally certified (CPhT designation), either through the Pharmacy Technician Certification Board (PTCB) or the National Healthcare Association (NHA).
South Dakota: Registration required within 30 days from the date of hire.
Technicians registered with South Dakota Board of Pharmacy after July 1, 2014 will be registered as a “technician-in-training” and will have two years to complete training education and national certification through the Pharmacy Technician Certification Board (PTCB).
Failure to obtain National Certification within two years of registering as a “technician-in-training” will result in termination of position.
Technicians registered with the South Dakota Board of Pharmacy after July 1, 2011 will be required to obtain National Certification through the Pharmacy Technician Certification Board by July 1, 2014.
Failure to obtain National Certification will result in termination of position.
Technicians registered with South Dakota Board of Pharmacy before July 1, 2011 will be grandfathered in and not require national certification through Pharmacy Technician Certification Board. 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 Technical Customer Support Representative 🔥 2 hours ago Veralto 10,000+ employees 🤝 B2B ⚡ Energy 🔬 Science Website LinkedIn All Job Openings Technical Customer Support Representative assisting customers via phone, email, and chat. Troubleshooting software issues and collaborating with cross-functional teams for effective resolutions. 🇺🇸 United States – Remote 💵 $24 - $34 / hour ⏰ Full Time 🟢 Junior 🟡 Mid-level 💻 IT Support Helpdesk Technician 🔥 5 hours ago Hydra Host 11 - 50 🔧 Hardware 🏢 Enterprise 🤖 Artificial Intelligence Website LinkedIn All Job Openings Helpdesk Technician providing IT support for Hydra Host's GPU compute marketplace. Resolving common issues and assisting with IT requests in a remote-first environment. 🇺🇸 United States – Remote 💵 $40k - $50k / year 💰 $10M Seed Round on 2022-04 ⏰ Full Time 🟢 Junior 🟡 Mid-level 💻 IT Support 🚫👨‍🎓 No degree required Presales Enterprise Architect 🔥 8 hours ago Blue Mantis 201 - 500 🔒 Cybersecurity 🏢 Enterprise ☁️ SaaS Website LinkedIn All Job Openings Presales Enterprise Architect focusing on customer IT architectures and solutions at Blue Mantis. Developing strategic solutions and engaging with clients at multiple levels. 🇺🇸 United States – Remote 💵 $180k - $200k / year ⏰ Full Time 🟠 Senior 🔴 Lead 💻 IT Support IT Support, Level 1 🔥 9 hours ago Outsourcey 201 - 500 🤝 B2B 🛍️ eCommerce Website LinkedIn All Job Openings IT Support (Level 1) providing first-line technical support for clients' IT systems via various channels. Join Outsourcey in revolutionizing global talent with a focus on dedicated teams in the Philippines. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 💻 IT Support IT Support – Level 3 🔥 9 hours ago Outsourcey 201 - 500 🤝 B2B 🛍️ eCommerce Website LinkedIn All Job Openings Join Outsourcey as an IT Support (Level 3) role providing remote solutions for businesses connecting full-time teams in the Philippines. Help elevate efficiency with technical support across various systems. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 💻 IT Support View More IT 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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Applicant Tracking System Keywords

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Hard Skills & Tools

prior authorizationformulary exception requestsmedical claims reviewspharmacy practicepharmacy utilization

Soft Skills

oral communicationauditory skillsinteroffice dialoguemember interactions

Certifications

CPhT designationPharmacy Technician Certification BoardNational Healthcare Association