Remote Pharmacy Operations Specialist - Prior Authorization

HCSC; Chicago (IL); Remote; USD 41,000 - 73,000; Full time

Job summary

HCSC, Health Care Service Corporation, is hiring a licensed Pharmacy Technician for a remote role to assist pharmacists and pharmacy coordinators by reviewing clinical documentation for medical necessity based on policy. The position collaborates with internal departments and external vendors to resolve medical prior authorization issues.

Typical hours are Monday through Friday (7 AM–6 PM MST) with weekend rotation; base pay ranges from $40,500 to $72,500, with eligibility for an incentive plan.

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 databases
• Ability to multitask and strong organizational skills
• Bachelor’s degree in Business or related health care field or four years related experience

Responsibilities

• Assist pharmacists and pharmacy coordinators in reviewing clinical documentation for medical necessity.
• Collaborate with internal departments and external vendors to resolve medical prior authorization issues.

Skills

Pharmacy Technician

Customer service

Drug information

Communication skills

Office software

Multitasking

Healthcare experience

Education

Bachelor’s degree or 4 years healthcare experience

Job description

HCSC, Health Care Service Corporation, is hiring a licensed Pharmacy Technician for a remote role to assist pharmacists and pharmacy coordinators by reviewing clinical documentation for medical necessity based on policy. The position collaborates with internal departments and external vendors to resolve medical prior authorization issues.

Typical hours are Monday through Friday (7 AM–6 PM MST) with weekend rotation; base pay ranges from $40,500 to $72,500, with eligibility for an incentive plan.