Hybrid Lead Prior Authorization Technician

Capital Rx; Denver (CO); Hybrid; USD 78,000 - 85,000; Full time

Job summary

Judi Health in Denver is seeking a leader to oversee a team of prior authorization technicians within a fast-paced health‑tech environment. You will work with the pharmacy technician manager to analyze data, optimize staffing, and enhance workflows while ensuring quality and compliance.

The role requires strong communication, organization, and a clinical background with a National CPhT license. Flexibility for on‑call weekends and holidays is expected in this startup setting.

Qualifications

• Minimum 1 year of Prior Authorization and/or appeals experience.

Responsibilities

• Oversee a group of prior authorization technicians and expanded responsibilities for select administrative PA functions.
• Collaborate with the pharmacy technician manager to analyze data and provide staffing, workflow and system enhancement recommendations.
• Support training and coaching of utilization management pharmacy technicians.
• Review pharmacy claims data for proactive outreach and intervention.
• Ensure adherence to HIPAA guidelines and company policies.

Skills

Prior Authorization

Team Leadership

Communication

Organizational Skills

CPhT license

Microsoft Excel

Clinical background

Writing skills

Education

CPhT license

Tools

Microsoft Excel

PowerPoint

Job description

Judi Health in Denver is seeking a leader to oversee a team of prior authorization technicians within a fast-paced health‑tech environment. You will work with the pharmacy technician manager to analyze data, optimize staffing, and enhance workflows while ensuring quality and compliance.

The role requires strong communication, organization, and a clinical background with a National CPhT license. Flexibility for on‑call weekends and holidays is expected in this startup setting.