Pharmacy Technician I Prior Authorization Specialist

2 weeks ago


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 and escalations to the pharmacist team, and assisting with other duties as needed.

Responsibilities:
  1. Effectively manage work volume by handling inbound calls, fax, and ePA requests using established standards.
  2. Comply with departmental, company, state, and federal requirements when processing information to ensure accuracy.
  3. Communicate with internal groups regarding determination status and results.
  4. Identify and elevate clinical inquiries to the pharmacist team as appropriate.
  5. Perform other duties assigned, such as faxes, sorting, email boxes, and CAS maintenance.
Requirements:
  • Preferred 0-3 years of work experience in a customer service position with high-volume call center experience, preferably in healthcare or a similar service position.
  • Verifiable High School diploma or GED is required.
  • Associate Degree or Bachelor's Degree: If neither degree is held, then equivalent years of work experience are preferred. Other Certificates or Licenses: Active pharmacy technician license per state requirements, or active national certification.
About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. We are an Equal Opportunity Employer and welcome all qualified applicants to apply without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.



  • 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...


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

    Job Summary:As a Pharmacy Technician I Prior Authorization Specialist, you will play a crucial role in the prior authorization process, providing exceptional phone assistance to providers, pharmacies, and members. Your primary responsibility will be to take in-bound calls, utilizing your professional and courteous demeanor to navigate the criteria-based...

  • Pharmacy Technician

    2 weeks ago


    New York, New York, United States MetroPlusHealth Full time

    Empowering New Yorkers through Healthcare ExcellenceMetroPlusHealth is dedicated to delivering exceptional healthcare services to the residents of New York City. Our mission is to provide high-quality care that empowers individuals and communities to thrive. If you share our passion for healthcare and are committed to making a difference, we invite you to...

  • Pharmacy Technician

    2 weeks ago


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

    Job Title: Prior Authorization Pharmacy TechnicianJob Summary:MetroPlus Health is seeking a highly skilled Prior Authorization Pharmacy Technician to join our team. As a Prior Authorization Pharmacy Technician, you will be responsible for reviewing and processing prior authorization requests for pharmacy benefits, ensuring accurate and timely processing of...


  • New York, New York, United States HealthCare Support Full time

    Job Title: Pharmacy Technician for Prior AuthorizationsHealthCare Support is seeking a skilled Pharmacy Technician to join our team in a remote prior authorizations role. As a Pharmacy Technician, you will play a critical role in ensuring patients receive the medications they need by processing prior authorization requests.Responsibilities:Process prior...


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

    MetroPlusHealth is a leading healthcare provider in New York City, committed to delivering high-quality services to its members. As a Pharmacy Technician for Prior Authorization Review, you will play a critical role in ensuring that our members receive the necessary medications and treatments. **Job Summary**This position is responsible for reviewing and...

  • 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 Health care 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 NYC Health + HospitalsMetroPlusHealth provides the highest...

  • Pharmacy Technician

    2 weeks ago


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

    Job Title: Prior Authorization Review Pharmacy TechnicianAs a Prior Authorization Review Pharmacy Technician at NYC Health + Hospitals, you will play a critical role in ensuring that our members receive the necessary medications and treatments in a timely and efficient manner.Key Responsibilities:Input and review prior authorization requests for medical and...

  • Pharmacy Technician

    2 weeks ago


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

    Job SummaryMetroPlusHealth is seeking a skilled Pharmacy Technician to join our team in the Prior Authorization Review department. As a Pharmacy Technician - Prior Authorization Review, 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...


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

    MetroPlus Health Plan is seeking a skilled Pharmacy Technician to join our team in the Prior Authorization Review department. The ideal candidate will have a strong background in pharmacy operations and be proficient in processing prior authorization requests.Responsibilities:* Input and review prior authorization requests for medical and pharmacy benefits*...

  • Pharmacy Technician

    1 month 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

    2 weeks ago


    New York, New York, United States MetroPlusHealth Full time

    About MetroPlusHealthMetroPlusHealth is a leading healthcare provider in New York City, committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. Our team is dedicated to delivering high-quality services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island.Job SummaryThe...


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

    Job Title: Prior Authorization Pharmacy TechnicianMetroPlusHealth is a leading healthcare provider in New York City, dedicated to delivering high-quality services to residents of the five boroughs. As a Prior Authorization Pharmacy Technician, you will play a critical role in ensuring that our members receive the necessary medications and treatments.Job...


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

    Job SummaryMetroPlusHealth is seeking a highly skilled Pharmacy Technician to join our team as a Prior Authorization Review Technician. In this role, you will be responsible for reviewing and processing prior authorization requests, ensuring accurate and timely decision-making. Your exceptional organizational and communication skills will enable you to...


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

    Job SummaryMetroPlusHealth is seeking a skilled Pharmacy Authorization Reviewer to join our team. As a Pharmacy Authorization Reviewer, you will be responsible for reviewing and processing prior authorization requests for pharmacy benefits. This role requires strong analytical and communication skills, as well as the ability to work independently and as part...


  • 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 Title: Prior Authorization PharmacistCapital Rx is seeking a highly skilled and experienced Prior Authorization Pharmacist to join our team. As a Prior Authorization Pharmacist, you will play a critical role in ensuring that our clients receive the best possible care while also ensuring that our clients' medication needs are met.Key...


  • 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 and Appeals Specialist. In this role, you will be responsible for reviewing clinical coverage determinations and appeals for various lines of business, including Commercial and Medicare. You will work closely with internal and external Medical Directors to provide...


  • 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 Pharmacy Technician, Appeals Specialist to join our team at Capital Rx. As a Pharmacy Technician, Appeals Specialist, you will play a critical role in ensuring the efficient and effective processing of appeals and prior authorizations for our clients.Key ResponsibilitiesReview and process appeals and prior...