Central PA Pharmacy Technician II - Prior Authorization Expert

The Christ Hospital; Cincinnati (OH); Hybrid; USD 42,000 - 54,000; Full time

Job summary

The Christ Hospital Health Network is seeking a Pharmacy Technician II to support pharmacists and managers in all aspects of central PA services. Under supervision, you will complete prior authorizations, review clinical data, and document decisions in PBM systems to ensure compliant operations.

You will collaborate with case managers, medical directors, and utilization review teams, while staying current on formularies, payer policies, and new drug approvals.

Qualifications

• High school diploma or GED required.
• At least 2 years of pharmacy technician experience.
• Must meet minimum qualifications for Central PA Pharmacy Technician I.
• Demonstrated consistency, productivity and independence.
• Show initiative, motivation and flexibility.
• Record of quality, quantity and reliability.
• Strong attendance and reliability behavior.

Responsibilities

• View and evaluate PA requests against clinical and formulary guidelines.
• Review patient history, labs and diagnoses when available.
• Apply clinical criteria and assess medical necessity.
• Communicate with providers for further documentation and clarification.
• Document decisions in PBM or health plan systems.
• Collaborate with case managers and medical directors.
• Monitor for compliance and flag potential fraud.
• Educate prescribers, patients and staff on PA processes.
• Participate in audits and quality improvement initiatives.

Skills

Pharmacy technician

Prior authorization

Independence

Reliability

Education

High school diploma or GED

PTCB/CPhT certification

Job description

The Christ Hospital Health Network is seeking a Pharmacy Technician II to support pharmacists and managers in all aspects of central PA services. Under supervision, you will complete prior authorizations, review clinical data, and document decisions in PBM systems to ensure compliant operations.

You will collaborate with case managers, medical directors, and utilization review teams, while staying current on formularies, payer policies, and new drug approvals.