Clinical Pharmacy Technician - Rivers Health

Marshall Health; United States; On-site; USD 42,000 - 58,000; Full time

Job summary

Marshall Health is seeking a Clinical Pharmacy Technician to manage prior authorizations, gather documentation, submit payer forms, and monitor determinations, with clinical questions escalated as needed.

The role also includes patient-assistance screening, coordinating pharmacy workflow between Rivers clinics and Marshall Health Network pharmacies, focusing on high-cost therapies, and tracking outcomes to support leadership with reports.

Qualifications

• Minimum 2 years' experience in clinical patient care management preferred.
• Specialty medication experience is a plus.
• Retail pharmacy experience preferred.

Responsibilities

• Manage prior authorizations and renewals.
• Gather clinical documentation and submit payer forms.
• Monitor determinations and request additional information as needed.
• Coordinate patient-assistance applications and financial documentation.
• Serve as primary liaison between clinics and network pharmacies.
• Track key metrics and provide routine reports to leadership.

Skills

Clinical Pharmacy Procedures

Patient Care Coordination

Documentation & Communication

Education

National Certification or equivalent

Job description

Prior Authorization Management

Complete new and renewal prior authorizations; gather clinical documentation; submit accurate payer forms; monitor determinations; communicate requests for additional information; support appeal preparation; and document final outcomes.

Patient-Assistance and Affordability Navigation

Screen for patient-assistance programs, copay support when permitted, foundation assistance, and internal resources; complete applications; obtain signatures and financial documentation; track approvals and renewals; and communicate next steps to patients.

Marshall Health Network Pharmacy Workflow

Serve as the primary operational link between both Rivers clinics and Marshall Health Network pharmacies; confirm prescription receipt; resolve missing information; coordinate payer-required routing; support internal dispensing when eligible; and maintain closed-loop communication until medication access is completed.

High-Cost and Specialty Medication Focus

Prioritize high-cost therapies, including biologics and specialty agents, as well as other medications with significant prior-authorization, specialty-pharmacy, or affordability requirements.

Patient Communication

Provide non-clinical updates regarding authorization status, required documents, pharmacy routing, assistance-program status, and next steps. Clinical questions will be escalated to the pharmacist or prescribing team.

Data Tracking and Reporting

Track volume, approval rate, turnaround time, patient-assistance activity, estimated patient savings, internal capture, leakage reasons, abandoned prescriptions, and time to first fill. Provide routine reports to Ambulatory Clinical Pharmacy leadership.

Education:

• Clinical Pharmacy Technician: Must hold or be willing to obtain National Certification or equivalent.

Experience:

• Clinical Pharmacy Technician: Minimum 2 years' experience in clinical patient care management preferred, specialty Medication experience a plus, retail pharmacy experience preferred.