Certified Pharmacy Technician

Software Methods, Incorporated; West Palm Beach (FL); On-site; USD 36,000 - 54,000; Full time

Job summary

Software Methods, Incorporated in West Palm Beach, FL is seeking a full-time Pharmacy Technician Coordinator to support the clinical team by processing and managing prior authorization requests for prescription medications. This on-site role requires CPhT and prior pharmacy operations experience.

You will enter PA data, verify eligibility, coordinate with prescribers and providers, document activities with HIPAA compliance, and collaborate with PBM and other departments to ensure timely

Qualifications

• High school diploma or equivalent.
• 1-2 years of experience in pharmacy operations, PBM, or healthcare setting.
• Knowledge of pharmacy terminology, drug formularies, and benefit structures.
• Proficiency in Microsoft Office and PBM software systems.
• Experience in supporting specialty medications in a clinical review capacity.
• Strong attention to detail and organizational skills.
• Excellent verbal and written communication abilities.
• Ability to work in a fast-paced, high-volume environment.
• Empathetic and patient demeanor when interacting with members and providers.

Responsibilities

• Process Clinical Review Requests.
• Enter and update PA data in the PBM system.
• Verify member eligibility and benefit coverage.
• Gather necessary documentation from prescribers and members.
• Prepare cases for pharmacist or clinical review.
• Communicate PA decisions to providers and members as directed.
• Maintain accurate records of all PA activities in accordance with HIPAA and PBM standards.
• Ensure adherence to state and federal regulations governing prior authorizations.
• Respond to inquiries from providers, pharmacies, and members regarding PA status.
• Provide clear and professional communication to resolve issues promptly.
• Collaborate with other PBM departments (e.g., Member Services, Claims) to ensure seamless processing.
• Assist in workflow improvements and participate in training initiatives.

Skills

Pharmacy operations

PBM experience

Healthcare setting

Pharmacy terminology

PBM software systems

Attention to detail

Verbal and written communication

Fast-paced environment

Empathetic demeanor

Microsoft Office

Education

High school diploma or equivalent

Pharmacy Technician Certification (CPhT)

Tools

PBM software systems

Microsoft Office

Job description

Software Methods is seeking a full-time Pharmacy Technician Coordinator to assist our client in the West Palm Beach, FL area. This is 100% on-site.

The Pharmacy Technician Coordinator supports the clinical team by processing and managing the prior authorization (PA) requests for prescription medications. This role ensures timely and accurate handling of PA submissions, documentation, and communication with providers, members, and internal stakeholders, in compliance with PBM polices and regulatory requirements. Pharmacy Technician Certification (CPhT) is required.

Responsibilities:

Process Clinical Review Requests:

• Review incoming PA requests for completeness and accuracy.
• Enter and update PA data in the PBM system.
• Verify member eligibility and benefit coverage.

Assist Clinical Team:

• Gather necessary documentation from prescribers and members.
• Prepare cases for pharmacist or clinical review.
• Communicate PA decisions to providers and members as directed.

Compliance & Documentation:

• Maintain accurate records of all PA activities in accordance with HIPAA and PBM standards.
• Ensure adherence to state and federal regulations governing prior authorizations.

Customer Service:

• Respond to inquiries from providers, pharmacies, and members regarding PA status.
• Provide clear and professional communication to resolve issues promptly.

Operational Support:

• Collaborate with other PBM departments (e.g., Member Services, Claims) to ensure seamless processing.
• Assist in workflow improvements and participate in training initiatives.

Required Skills:

• High school diploma or equivalent.
• Minimum 1-2 years of experience in pharmacy operations, PBM, or healthcare setting.
• Knowledge of pharmacy terminology, drug formularies, and benefit structures.
• Proficiency in Microsoft Office and PBM software systems.
• Experience in supporting specialty medications in a clinical review capacity.
• Strong attention to detail and organizational skills.
• Excellent verbal and written communication abilities.
• Ability to work in a fast-paced, high-volume environment.
• Empathetic and patient demeanor when interacting with members and providers.

Unable to sponsor visas for this position. Please encourage those authorized, to work in the U.S. without a visa, to apply!