Pharmacy Technician / Pharm Tech Apprenticeship (Cottage Grove)

Walgreens; Johnson Creek (WI); Remote; USD 26,000 - 39,000; Full time

Job summary

Prime Therapeutics is seeking a licensed remote pharmacy technician (Texas eligibility) to support NY Medicaid programs. The Senior Clinical Pharmacy Technician assists with complex care coordination, PA submission, coverage determinations, and provider education.

Remote coordination and strong documentation are essential for success. Responsibilities include evaluating PA requests, communicating decisions to providers and pharmacies, and ensuring compliance with program requirements; experience

Qualifications

• High school diploma or GED.
• 2 years of work experience as a pharmacy technician.
• Required CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements.
• Must be eligible to work in the United States without visa sponsorship.

Responsibilities

• Evaluate and process prior authorization (PA) requests, including determining medication appropriateness and communicating decisions to providers, pharmacies, and internal stakeholders.
• Research, resolve, and document PA outcomes and complex provider/member inquiries while ensuring accuracy and compliance with standards.
• Lead complex care coordination for New York Medicaid members, including provider outreach, claim resolution, and coverage clarification.
• Provide guidance and education to providers on formulary coverage, NYRx program requirements, PA processes, and therapeutic alternatives.
• Escalate cases requiring additional clinical review to a pharmacist and ensure timely resolution.
• Deliver high-quality customer service while meeting performance, accuracy, and SLAs.

Skills

Pharmacy knowledge

Customer service

Written communication

Microsoft Office

Education

High school diploma or GED

Tools

Pharmacy systems

Job description

Licensed Remote Pharmacy Technician (Texas Only)

Home
Full time
R-17319
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

**Job Posting Title**
Clinical Pharmacy Technician Sr. - MCO Clinical Liaison - Remote

**Job Description**
The Senior Clinical Pharmacy Technician assists with complex care coordination as it relates to pharmacy benefits for New York Medicaid members. Efforts may include claim submission, coverage parameters, and/or prior authorization requests. Additional outreach efforts may be needed to educate providers on NYRx, the Medicaid Pharmacy Program.

**Responsibilities**

• Evaluate and process prior authorization (PA) requests, including determining medication appropriateness, applying clinical criteria, and communicating decisions to providers, pharmacies, and internal stakeholders.
• Research, resolve, and document PA outcomes and complex provider/member inquiries while ensuring accuracy and compliance with system and documentation standards.
• Lead complex care coordination efforts for New York Medicaid members, including inbound and outbound provider outreach, claim resolution, coverage clarification, and facilitation of prior authorizations to support continuity of care.
• Provide guidance and education to providers on formulary coverage, NYRx program requirements, prior authorization processes, and therapeutic alternatives.
• Escalate cases requiring additional clinical review or denial to a pharmacist in accordance with established protocols.
• Deliver high-quality customer service while meeting performance-, accuracy-, and service-level expectations.

**Minimum Qualifications**

• High school diploma from an accredited school or equivalent GED
• 2 years of work experience as a pharmacy technician
• Required CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy
  Must be eligible to work in the United States without the need for work visa or residency sponsorship

**Additional Qualifications**

• Strong knowledge of specialty injectable prescription drugs, disease states, formulary management techniques, medical terminology, and reimbursement coding practices
• Proficiency in pharmacy systems, software applications, and Microsoft Office products
• Excellent written and verbal communication skills
• Ability to interpret and apply established clinical criteria and operational procedures
• Ability to identify, troubleshoot, and resolve operational issues

**Preferred Qualifications**

• Specialty pharmacy, retail pharmacy, reimbursement, or health plan experience
• 2+ years of Customer Service experience
• Complex care coordination experience.

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job

Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.

Prime Therapeutics is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.