Pharmacy Service Specialist

4 days ago

Washington, Washington, D.C., United States iMatch Technical Services Full time $60,000 - $90,000 per year

Title
: CW Pharmacy Service Specialist (2 openings)

Pay rate:
$19-22/hr

Location:
Offsite (no onsite requirements)

Preferred start date
: 11/17/25

Contract END date::
both requests are for 6 months

Will this be 40 hours a week
? Yes with no overtime authorized (Monday through Friday hours)

The Job

As a
Pharmacy Services Specialist
, you will play a pivotal role in supporting Pharmacy Service Operations and Pharmacy Programs, ensuring both provider and customer satisfaction. Your responsibilities will include completing prior authorization review requests from providers, performing level I reviews for Prior Authorization exception requests according to clinical criteria, and collecting relevant medical and prescription information to support the review of non-formulary exception requests and prior authorization requests.

Schedule:

Core service hours: Monday through Friday 7:30 AM to 5:00 PM (PST hours). Core service hours subject to change based on business needs.

What you'll do:

Support the Pharmacy Prior Authorization Program by:

  • Performing level I review for Prior Authorization exception requests according to clinical criteria.
  • Collecting relevant medical and prescription information to support the review of non-formulary exception requests and prior authorization requests.
  • Setting up authorizations and initiating appropriate paperwork and notification process.
  • Documenting exception requests status and outcomes in all relevant systems.
  • Determining customer eligibility, verifying and interpreting pharmacy benefits as required.
  • Requesting and reviewing necessary medical records for level II reviews, sending requests with documentation and recommendations to the Assistant Medical Directors for final review.
  • Contribute to team efficiency by providing support to fellow team members.
  • Maintain knowledge of health plan policies and benefits, current treatment procedures and alternative resources.
  • Serve as a resource for other departments for pharmacy program questions.
  • Other duties as assigned.

What you'll bring:

  • Current and valid Washington State Pharmacy Technician License (Required).
  • Three (3) years' experience as a Pharmacy Technician (Required).
  • Experience in customer service with both internal and external customers.
  • Completion of pharmacy technician training from an accredited Pharmacy Technician program.
  • Prior health insurance experience preferred.

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