Pharmacy Technician: Formulary & Prior Authorization Pro

IMCS Group; Florida; On-site; USD 34,000 - 47,000; Full time

Job summary

IMCS Group is seeking a Pharmacy Technician to support formulary management, audit and recovery, Medicare Part D operations and SHP programs. The role requires a high school diploma or GED and at least 1 year of Pharmacy Technician experience, with customer service experience preferred.

Responsibilities include reviewing formulary changes, performing audits, handling member inquiries and assisting with prior authorizations and regulatory compliance. This is an on-site position based in Florida.

Qualifications

• High School diploma or GED required.
• 1 year Pharmacy Technician experience.
• Customer Service/retail experience preferred.

Responsibilities

• Formulary Management: reviews formulary changes and maintains status grids.
• Pharmacy Audit and Recovery: reviews paid claims for discrepancies and communicates findings.
• Pharmacy Services Center: handles member inquiries and processes claims.
• Prior Authorization: reviews and documents prior authorizations.
• Medicare Part D Operations: processes PDE files and conducts audits.
• State Health Programs Operations: liaison and performs formulary updates and SHP projects.
• Appeals: validates appeal requests and gathers required information.
• Prior Authorization Medicare Part D/B: triages and documents determinations and notifies stakeholders.
• Performs other duties as assigned.

Skills

Pharmacy technician experience

Customer service

Education

High School diploma or GED

Job description

IMCS Group is seeking a Pharmacy Technician to support formulary management, audit and recovery, Medicare Part D operations and SHP programs. The role requires a high school diploma or GED and at least 1 year of Pharmacy Technician experience, with customer service experience preferred.

Responsibilities include reviewing formulary changes, performing audits, handling member inquiries and assisting with prior authorizations and regulatory compliance. This is an on-site position based in Florida.