Pharmacy Benefits & Access Technician

Allegheny Health Network; Monroeville (Allegheny County); On-site; USD 42,000 - 62,000; Full time

Job summary

Allegheny Health Network is seeking a Pharmacy Benefits Coordinator to manage prior authorization, insurance evaluations, and patient access procedures. The role focuses on efficient processing of pharmacy benefits and maintaining compliance.

Responsibilities include coordinating with patients and providers, performing medication reconciliation, and ensuring timely access to services. A healthcare background and knowledge of PBMs and UM are preferred.

Qualifications

• 2 years of experience as a Pharmacy Technician, Patient Access Coordinator, or Medical Assistant in a health care setting.
• Associate degree preferred; Certified Pharmacy Technician (CPhT) from Pharmacy Technician Certification Board preferred.

Responsibilities

• Prior Authorization & Utilization Management reviews UM coverage requests for pharmacy and medical benefits; applies plan-specific benefits and cites internal policies.
• Patient and Provider Coordination; liaises between customers, provider teams, and Pharmacy Department; schedules appointments; handles outreach and referrals.
• Data Management & Compliance; enters preauthorization data, conducts insurance evaluations, performs medication reconciliation, maintains regulatory compliance and assists patient access to affordable medications.

Education

Associate degree

Certified Pharmacy Technician (CPhT)

Job description

Allegheny Health Network is seeking a Pharmacy Benefits Coordinator to manage prior authorization, insurance evaluations, and patient access procedures. The role focuses on efficient processing of pharmacy benefits and maintaining compliance.

Responsibilities include coordinating with patients and providers, performing medication reconciliation, and ensuring timely access to services. A healthcare background and knowledge of PBMs and UM are preferred.