Prior Authorization Review Pharmacy Technician

7 days ago


New York, New York, United States MetroPlusHealth Full time
Job Title: Prior Authorization Review Pharmacy Technician

At MetroPlusHealth, we are committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, we invite you to join our team.

Job Summary

The Prior Authorization Review Pharmacy Technician is responsible for reviewing and processing prior authorization requests for medications. This role requires strong analytical and communication skills, as well as the ability to work effectively in a team environment.

Key Responsibilities
  • Review and process prior authorization requests for medications
  • Communicate with healthcare providers and members to obtain necessary information
  • Enter and audit overrides in the pharmacy adjudication system
  • Assist in pharmacy case management activities
  • Support departmental quality initiatives
Requirements
  • Associate's degree with four years' experience as a Pharmacy Technician required
  • Pharmacy experience in a managed care environment preferred
  • Experience in auditing preferred
  • PTCB or ExCPT Pharmacy Technician Certification, required

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual who is passionate about healthcare, we encourage you to apply for this exciting opportunity.


  • Pharmacy Technician

    2 weeks ago


    New York, New York, United States NYC Health Hospitals Full time

    Job Title: Prior Authorization Review Pharmacy TechnicianAt NYC Health + Hospitals, we are committed to providing high-quality healthcare services to our community. We are seeking a skilled Pharmacy Technician to join our team as a Prior Authorization Review Pharmacy Technician.Job Summary:The Prior Authorization Review Pharmacy Technician is responsible for...

  • Pharmacy Technician

    1 week ago


    New York, New York, United States NYC Health Hospitals Full time

    Job Title: Prior Authorization Review Pharmacy TechnicianAt NYC Health + Hospitals, we are committed to providing high-quality healthcare services to our community. As a Prior Authorization Review Pharmacy Technician, you will play a critical role in ensuring that our members receive the necessary medications and treatments.Key Responsibilities:Input and...

  • Pharmacy Technician

    6 days ago


    New York, New York, United States NYC Health Hospitals Full time

    Job Title: Prior Authorization Review Pharmacy TechnicianMetroPlusHealth, a subsidiary of NYC Health + Hospitals, is seeking a skilled Pharmacy Technician to join our team in the Prior Authorization Review department. As a Pharmacy Technician, you will play a critical role in ensuring that our members receive the necessary medications and treatments while...

  • Pharmacy Technician

    7 days ago


    New York, New York, United States MetroPlus Full time

    Job SummaryMetroPlusHealth is seeking a skilled Pharmacy Technician to join our team in the Prior Authorization Review department. As a Pharmacy Technician, you will play a critical role in ensuring that our members receive the necessary medications and treatments in a timely and efficient manner.Key ResponsibilitiesInput and review prior authorization...

  • Pharmacy Technician

    2 weeks ago


    New York, New York, United States MetroPlusHealth Full time

    Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About MetroPlusHealthMetroPlusHealth provides the highest quality...


  • New York, New York, United States MetroPlus Health Plan Full time

    Job SummaryWe are seeking a skilled Prior Authorization Review Technician to join our team at MetroPlus Health Plan. As a key member of our Pharmacy department, you will be responsible for reviewing and processing prior authorization requests, ensuring accurate and timely decision-making.Key ResponsibilitiesInput and review prior authorization requests,...


  • New York, New York, United States MetroPlusHealth Full time

    **Job Summary**The Prior Authorization Review Technician will be responsible for reviewing and processing prior authorization requests for MetroPlus Health. This role will require strong analytical and communication skills to ensure accurate and timely processing of requests.**Key Responsibilities**Review and process prior authorization requests in...


  • New York, New York, United States MetroPlus Health Plan Full time

    Job SummaryWe are seeking a skilled Prior Authorization Review Technician to join our team at MetroPlus Health Plan. As a key member of our Pharmacy department, you will be responsible for reviewing and processing prior authorization requests, ensuring accurate and timely decision-making.Key ResponsibilitiesInput and review prior authorization requests,...


  • New York, New York, United States US Tech Solutions Full time

    Job Summary:The Pharmacy Technician I Prior Authorization Specialist takes in-bound calls from providers, pharmacies, and members, providing professional and courteous phone assistance through the prior authorization process. This role involves maintaining accurate documentation of reviews, transferring clinical questions to the pharmacist team, and...

  • Pharmacy Technician I

    2 weeks ago


    New York, New York, United States US Tech Solutions Full time

    Job SummaryThe Pharmacy Technician I - Prior Authorization Specialist plays a critical role in ensuring seamless communication between healthcare providers, pharmacies, and members. As a key member of our team, you will be responsible for providing exceptional phone assistance to callers, navigating the prior authorization process, and maintaining accurate...


  • New York, New York, United States US Tech Solutions Full time

    Job Summary:As a Prior Auth Pharmacy Technician at US Tech Solutions, you will play a crucial role in providing exceptional customer service to providers, pharmacies, and members. Your primary responsibility will be to handle inbound calls, utilizing your professional and courteous demeanor to navigate the prior authorization process. You will maintain...


  • New York, New York, United States Tandym Group Full time

    Job Title: Prior Authorization SpecialistAbout the Role:We are seeking a highly skilled Prior Authorization Specialist to join our team at Tandym Group. As a Prior Authorization Specialist, you will play a critical role in ensuring that our clients receive the necessary medical treatments and services in a timely and efficient manner.Key...


  • New York, New York, United States Capital Rx Full time

    Job SummaryA Prior Authorization Pharmacist at Capital Rx performs day-to-day clinical pharmacy functions, including prior authorization and appeal reviews, override requests, and inbound and outbound member and provider education calls, while following medical necessity and contract criteria.Key ResponsibilitiesPerform day-to-day clinical pharmacy...


  • New York, New York, United States Capital Rx Full time

    Job SummaryWe are seeking a highly skilled Pharmacist to join our team as a Prior Authorization Pharmacist. In this role, you will be responsible for performing day-to-day clinical pharmacy functions, including prior authorization and appeal reviews, override requests, and inbound and outbound member and provider education calls.Key ResponsibilitiesPerform...


  • New York, New York, United States Capital Rx Full time

    Job SummaryWe are seeking a highly skilled Pharmacist to join our team as a Prior Authorization Pharmacist. In this role, you will be responsible for performing day-to-day clinical pharmacy functions, including prior authorization and appeal reviews, override requests, and inbound and outbound member and provider education calls.Key ResponsibilitiesPerform...

  • Pharmacy Technician

    1 week ago


    New York, New York, United States MetroPlus Health Plan Full time

    Job SummaryMetroPlus Health Plan is seeking a highly skilled Pharmacy Technician to join our team in a key role that will play a critical part in ensuring the accuracy and integrity of our pharmacy benefit configuration. As a Pharmacy Technician - Operations, you will be responsible for auditing and validating internal and external reports to ensure proper...

  • Pharmacy Technician

    1 week ago


    New York, New York, United States MetroPlusHealth Full time

    Job SummaryMetroPlusHealth is seeking a highly skilled Pharmacy Technician to join our team in the Medicare Operations department. As a Pharmacy Technician, you will play a critical role in ensuring the accuracy of pharmacy benefit configuration and processing prior authorization requests related to Medicare Lines of Business.Key ResponsibilitiesReview and...

  • Pharmacy Technician

    6 days ago


    New York, New York, United States MetroPlus Health Plan Full time

    Job SummaryMetroPlusHealth is seeking a highly skilled Pharmacy Technician to join our team in the Medicare Operations department. As a Pharmacy Technician, you will play a critical role in ensuring the accuracy of pharmacy benefit configuration and processing prior authorization requests related to Medicare Lines of Businesses.Key ResponsibilitiesData entry...

  • Pharmacy Technician

    2 weeks ago


    New York, New York, United States NYC Health Hospitals Full time

    Job Title: Pharmacy Technician - Medicare OperationsMetroPlusHealth, a subsidiary of NYC Health + Hospitals, is seeking a skilled Pharmacy Technician to join our team. As a Pharmacy Technician - Medicare Operations, you will play a critical role in ensuring the accuracy of pharmacy benefit configuration and processing prior authorization requests related to...


  • New York, New York, United States NYC Health Hospitals Full time

    About the RoleThe Pharmacy Operations Specialist will play a critical role in ensuring the accuracy and integrity of pharmacy benefits for our members. This position will be responsible for auditing and validating internal and external reports to ensure proper benefit configuration, as well as processing prior authorization requests related to Medicare Lines...