Prior Authorization Pharmacy Technician

Healthfirst; New York (NY); Hybrid; USD 40,000 - 55,000; Full time

Job summary

Healthfirst in New York is seeking a Pharmacy Technician to manage prior authorization requests for medications. This role involves assessing clinical information and ensuring compliance with regulations while maintaining professional communication with providers and members.

The ideal candidate should be a nationally certified Pharmacy Technician and possess strong verbal and written communication skills. This position is integral to a multidisciplinary team.

Qualifications

• High School Diploma or GED from an accredited institution.
• Nationally certified Pharmacy Technician in good standing or registered/lined Pharmacy Technician.
• Experience with prior authorization reviews and clear communication.

Responsibilities

• Review and assess prior authorization requests for medications.
• Communicate approval and denial decisions to providers and members.
• Ensure compliance with CMS and NYSDOH regulations.

Skills

Communication skills

Critical thinking

Customer service

Problem-solving

Bilingual (Chinese, Spanish, Russian)

Education

High School Diploma or GED

Certification as Pharmacy Technician

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

TruCare Care Management Platform

Job description

Healthfirst in New York is seeking a Pharmacy Technician to manage prior authorization requests for medications. This role involves assessing clinical information and ensuring compliance with regulations while maintaining professional communication with providers and members.

The ideal candidate should be a nationally certified Pharmacy Technician and possess strong verbal and written communication skills. This position is integral to a multidisciplinary team.