Managed Care Pharmacy Technicians - REMOTE

Nesco Resource; Latham (NY); Remote; USD 1,000; Full time

Job summary

Nesco Resource is hiring a Managed Care Pharmacy Technician for a remote role that requires occasional onsite needs in the Capital District of New York. This full-time, temporary position runs through January 2027, focusing on improving pharmacy care access and benefits optimization. Candidates should have a pharmacy technician certification and experience in managed care or retail pharmacy. Strong communication skills and familiarity with PBM systems are essential, and the role involves processing medical requests and ensuring clarity on pharmacy coverage.

Benefits

Comprehensive benefits package

Minimum Essential Coverage (Medical, Vision, Dental, 401K, EAP)

Qualifications

• Pharmacy Technician Certification (CPT) or 2+ years pharmacy experience.
• Minimum 3 years in retail or managed care pharmacy.
• Familiar with pharmacy billing and claims processing.

Responsibilities

• Review and process medical exceptions and authorizations.
• Communicate pharmacy benefits and coverage details.
• Monitor PBM systems and troubleshoot issues.

Skills

Communication

Organizational Skills

Customer Service

Education

Pharmacy Technician Certification (CPT)

Tools

PBM systems

Microsoft Office

Job description

Managed Care Pharmacy Technician
Remote (Must reside in the Capital District)
$22/hr | Full-Time | Temporary through January 2027

Join a mission-driven team improving access to pharmacy care and optimizing benefits for members! We’re hiring a Managed Care Pharmacy Technician for a remote role with occasional onsite needs — so you must be located in the Capital District of New York.

This is a long-term temporary opportunity running through January 2027, perfect for someone with pharmacy technician certification and managed care or retail pharmacy experience.

What You’ll Do:

• Review and process medical exception and prior authorization requests using established clinical guidelines.

• Communicate with physicians, pharmacists, and members to provide clarity on pharmacy benefits and coverage.

• Provide real-time authorization for vacation supplies, therapy overrides, and more.

• Support formulary management tools (e.g., step therapy, quantity limits, age/gender restrictions).

• Resolve pharmacy claim issues and research mail-order, specialty, or eligibility-related concerns.

• Monitor and troubleshoot Pharmacy Benefit Management (PBM) systems and assist with technical testing as needed.

• Provide backup support for the pharmacy phone queue.

• Work collaboratively on internal pharmacy projects and maintain productivity and quality standards.

What You’ll Need:

• Pharmacy Technician Certification (CPT) or 2+ additional years of pharmacy experience in lieu of certification.

• Minimum 3 years of experience in a retail or managed care pharmacy setting.

• Familiarity with PBM systems, pharmacy billing, claims processing, and therapeutic drug categories.

• Strong communication, organizational, and customer service skills.

• Comfort with Microsoft Office (Word, Excel, Outlook, PowerPoint).

Role Details:

Start Date: ASAP
End Date: January 2027
Pay Rate: $22/hr
Schedule: Full-time, M-F, 8:30am-5pm, with occasional OT

Nesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.

Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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