Pharmacy Technician – Coverage Determination Analyst

ITAC Solutions; Birmingham; Remote; GBP 40,000 - 60,000; Part time

Job summary

A healthcare solutions provider is seeking a Coverage Determination Analyst to support the prior authorization process. This role involves data entry, communication with healthcare professionals, and upholding patient confidentiality. Candidates should have a Pharmacy Technician background and experience in data entry. The position offers a home-based role with a pay rate of $18/hour.

Benefits

Home-based role with equipment provided

Collaborative team culture

Valuable PBM experience

Qualifications

• Pharmacy Technician background required, preferably in retail, hospital, or PBM call center.
• Prior Authorization knowledge is essential.
• Proven ability to perform high-volume data entry with great accuracy.

Responsibilities

• Perform data entry for patient and prescriber information.
• Review prior authorization requests for completeness.
• Communicate with doctors’ offices to gather information.

Skills

Pharmacy Technician background

Prior Authorization knowledge

High-volume data entry skills

Comfortable with fast-paced environment

Familiarity with PBM systems

Tools

Microsoft Office Suite

Job description

Pharmacy Technician – Coverage Determination Analyst

Birmingham , AL - Onsite

Job ID: 36643

Posted: 2025-09-03

Employment Type: Contract

Pay Rate: $ 18 Hour

Join our client’s clinical operations team as a Coverage Determination Analyst and play a vital role in ensuring patients get timely access to the medications they need. In this fast-paced, detail-oriented role, you’ll support the prior authorization process by coordinating with physicians, gathering information, and preparing cases for review. Your contributions directly impact patient care and make a meaningful difference every day.

Benefits & Extras

• Home-based role with equipment provided
• Collaborative team culture where your accuracy and focus make a difference
• Gain valuable PBM and healthcare operations experience
• Monday–Friday schedule with consistent 8-hour shifts

Compensation: $18/hour, 3+ month contract

What You’ll Be Doing:

• Perform data entry of patient, prescriber, pharmacy, and prior authorization information
• Review PA requests for completeness and request missing details from physician offices
• Communicate with doctors’ offices by phone and fax to gather information
• Finalize requests in PA software and enter overrides into PBM claim systems
• Identify issues in the PA process and escalate to management when necessary
• Uphold patient rights, confidentiality, and privacy standards
• Collaborate across clinical, member services, and account management teams

What You’ll Need to Be Considered:

• Pharmacy Technician background (retail, hospital, or PBM call center)
• Prior Authorization knowledge
• Proven high-volume data entry skills with accuracy
• Comfortable working in a fast-paced, computer-based environment
• Familiarity with PBM systems and Microsoft Office Suite

Apply Now!

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