Remote Pharmacy Tech: Prior Authorization Specialist

Pacer Group; United States; Remote; USD 27,000 - 39,000; Full time

Job summary

Pacer Group is seeking a Pharmacy Services 2 - Pharmacy Technician for a remote CA position. The role is a 6+ month assignment with potential extension or conversion to full‑time, work hours 8:30 AM to 5:00 PM, and pay at 24.00 USD per hour.

The main responsibility is handling prior authorization, formulary guidance and benefit communications for outpatient pharmacy services. Candidate should be licensed as a CA Pharmacy Technician and bring 2–4 years of relevant experience.

Qualifications

• CA Pharmacy Tech License required.
• 2–4 years of experience in pharmacy services.
• Currently in training or recently completed training.

Responsibilities

• Under general supervision, coordinates, assists in and supports implementation of procedures and guidelines for the drug prior authorization program for the outpatient Pharmacy Benefit.
• Communicates with the physician, physician's office staff, medical management and other team members to assist with accurate and efficient resolution of prior authorization requests.
• Assists in providing formulary alternatives and communicates prior authorization criteria, and discusses pharmacy benefit coverage inclusions/exclusions when required.
• Interfaces in a courteous and professional manner with physicians, physician office staff, contracted pharmacists, patients, and other team members during the prior authorization process.
• Provides drug usage history and other pertinent pharmacy benefit related computer searches for pharmacists and Medical Director to assist in case specific reviews and drug evaluations.
• Assists pharmacists with drug utilization review programs, NCQA QI programs or other assigned projects
• Communicates prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physician, physician office staff, medical management staff, sales, member/customer services
• Assists in research and resolution of physician inquiries and grievances
• Provides essential clinical information to Member Services, Administrative Review Department and Consumer Affairs to resolve Member inquiries and grievances

Tools

Microsoft Word

Teams

Outlook

Excel

Job description

Pacer Group is seeking a Pharmacy Services 2 - Pharmacy Technician for a remote CA position. The role is a 6+ month assignment with potential extension or conversion to full‑time, work hours 8:30 AM to 5:00 PM, and pay at 24.00 USD per hour.

The main responsibility is handling prior authorization, formulary guidance and benefit communications for outpatient pharmacy services. Candidate should be licensed as a CA Pharmacy Technician and bring 2–4 years of relevant experience.