Hybrid Clinical Pharmacy Tech: Prior Authorization

Highmark Health; Northern (KY); Hybrid; USD 42,000 - 66,000; Full time

Job summary

Allegheny Health Network is seeking a Clinical Pharmacy Technician II for a hybrid role in Zelienople, PA. The position focuses on pharmacy benefits, prior authorization, and patient access processes, coordinating with providers and ensuring accurate medication lists.

You will handle preauthorization entries, engage in appeals when needed, perform medication reconciliation, and maintain compliance within specified timelines. This role requires healthcare experience and may involve 0-25% travel.

Qualifications

• 2 years of experience as a Pharmacy Technician, Patient Access Coordinator, or Medical Assistant in health care setting.
• Experience with pharmacy benefits, prior authorization, and insurance processes is preferred.
• Knowledge of HIPAA and data privacy standards is expected.

Responsibilities

• Prior Authorization & Utilization Management: evaluates UM coverage requests and prepares for clinical review.
• Patient & Provider Coordination: acts as liaison between customers, providers, and Pharmacy Department; handles outreach and inquiries.
• Data Management & Compliance: enters preauthorization data, assesses eligibility/coverage, performs medication reconciliation, ensures regulatory compliance.
• Other duties as assigned or requested.

Skills

Pharmacy technician experience

Patient access coordination

Medical assistant experience

Education

Associate degree

CPhT certification

Job description

Allegheny Health Network is seeking a Clinical Pharmacy Technician II for a hybrid role in Zelienople, PA. The position focuses on pharmacy benefits, prior authorization, and patient access processes, coordinating with providers and ensuring accurate medication lists.

You will handle preauthorization entries, engage in appeals when needed, perform medication reconciliation, and maintain compliance within specified timelines. This role requires healthcare experience and may involve 0-25% travel.