Remote Pharmacy Operations Specialist (Prior Auth)

HCSC Group; United States; Remote; USD 41,000 - 73,000; Full time

Job summary

HCSC is seeking a Licensed Pharmacy Technician to support pharmacists and coordinators by reviewing medical necessity documentation and policies. The role involves collaboration with internal teams and external vendors to resolve prior authorization issues, with remote work options within the continental United States.

Candidates should bring strong drug information skills, excellent communication, and the ability to manage multiple tasks in a fast-paced environment.

Qualifications

• Current Licensed/Certified Pharmacy Technician.
• Managed care customer service experience.
• Drug information skills.
• Verbal and written communication skills.
• Proficiency in word processing, spreadsheets, and database.
• Ability to handle multiple tasks with strong organizational skills.
• Bachelor’s degree in Business or related health care field or four years work experience in health care/insurance.

Responsibilities

• Assist pharmacists and pharmacy coordinators in reviewing clinical documentation for medical necessity based on medical policy.
• Work with internal departments and external vendors to evaluate and resolve medical prior authorization related issues.

Skills

Licensed Pharmacy Technician

Customer service

Drug information

Verbal and written communication

Multi-tasking

Education

Bachelor’s degree in Business or related health care field

Four years work experience in health care/insurance

Tools

Word processing

Spreadsheets

Database

Job description

HCSC is seeking a Licensed Pharmacy Technician to support pharmacists and coordinators by reviewing medical necessity documentation and policies. The role involves collaboration with internal teams and external vendors to resolve prior authorization issues, with remote work options within the continental United States.

Candidates should bring strong drug information skills, excellent communication, and the ability to manage multiple tasks in a fast-paced environment.