PA Pharmacy Tech II: Clinical Authorization Pro

The Christ Hospital Health Network; Cincinnati (OH); On-site; USD 37,000 - 50,000; Full time

Job summary

The Christ Hospital Health Network in Cincinnati, OH, seeks a Central PA Pharmacy Technician II to support pharmacists and managers in daily operations, including completing prior authorizations and maintaining compliance.

Under supervision, you will evaluate PA requests, apply clinical criteria, educate providers, and collaborate with care teams to ensure timely, accurate approvals and patient access.

Qualifications

• High school diploma or GED is required.
• Minimum 2 years of pharmacy technician experience is required; retail/ambulatory care preferred.
• Ohio State Board of Pharmacy Technician registration is required.
• Certified Pharmacy Technician (PTCB/CPhT) certification is required.

Responsibilities

• Analyzes PA submissions to ensure they meet clinical and formulary guidelines.
• Reviews patient history, lab results, and diagnosis codes when available.
• Assesses medical necessity based on criteria such as FDA-approved indications, compendia, and internal policies.
• Explains coverage decisions and educates on formulary alternatives or step therapy requirements.
• Enters decisions into PBM or health plan systems with accurate record-keeping for compliance.
• Works with case managers, medical directors, and utilization review teams.
• Identifies potential overuse, misuse, or inappropriate prescribing patterns and flags them for investigation.
• Educates prescribers, patients, and internal staff about prior authorization processes and criteria.
• Participates in audits and quality improvement initiatives to streamline workflows.

Skills

Independent work

Communication

Attention to detail

Education

High school diploma or GED

Job description

The Christ Hospital Health Network in Cincinnati, OH, seeks a Central PA Pharmacy Technician II to support pharmacists and managers in daily operations, including completing prior authorizations and maintaining compliance.

Under supervision, you will evaluate PA requests, apply clinical criteria, educate providers, and collaborate with care teams to ensure timely, accurate approvals and patient access.