Remote Pharmacy Operations Specialist (Prior Authorization)

HCSC Group; Albuquerque (NM); Remote; USD 41,000 - 73,000; Full time

Job summary

HCSC is seeking a licensed Pharmacy Technician to support pharmacists and pharmacy coordinators in reviewing medical necessity documentation under policy. This remote role offers weekday hours, with rotation, and the chance to contribute to care coordination in managed care.

You will collaborate with internal teams and external vendors on prior authorization issues, with compensation between 40,500 and 72,500 USD, depending on experience and location.

Qualifications

• Current Licensed/Certified Pharmacy Technician.
• Managed care customer service experience.
• Drug information skills.
• Verbal and written communication skills.
• Demonstrated proficiency in word processing, spreadsheets, and databases.
• Skills to handle multiple tasks and organizational skills.
• Bachelor’s degree in Business or a related health care field or four years work experience in a health care/insurance industry.

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

Managed care customer service

Drug information skills

Verbal and written communication

Office software (word processing, spd,

Multitasking and organizational skills

Education

Bachelor’s degree in Business or related health care field or four years work experience in a health care/insurance industry

Job description

HCSC is seeking a licensed Pharmacy Technician to support pharmacists and pharmacy coordinators in reviewing medical necessity documentation under policy. This remote role offers weekday hours, with rotation, and the chance to contribute to care coordination in managed care.

You will collaborate with internal teams and external vendors on prior authorization issues, with compensation between 40,500 and 72,500 USD, depending on experience and location.