Remote Pharmacy Tech: Utilization Review & PA

The Judge Group; New Jersey; Remote; USD 50,000 - 70,000; Part time

Job summary

A healthcare staffing firm is seeking a Pharmacy Technician to support retail pharmacy operations remotely. This role involves processing prescriptions, performing prior authorization reviews, and coordinating care for patients. Candidates should have at least 2 years in retail pharmacy, ideally with experience in utilization review. A strong knowledge of insurance processes is essential. This position offers a unique opportunity to work within healthcare while ensuring safe and effective medication use.

Qualifications

• Minimum 2 years of experience in retail pharmacy; prior experience in utilization review, prior authorization, or managed care strongly preferred.
• Knowledge of insurance verification, formulary management, and specialty medication processes.

Responsibilities

• Process and dispense prescriptions accurately in compliance with regulations.
• Review patient profiles and insurance coverage to verify eligibility.
• Perform prior authorization reviews using established criteria.
• Communicate with prescribers to clarify prescriptions.
• Apply critical thinking to assess treatment plans for appropriateness.
• Coordinate with specialty pharmacy vendors for medication shipment.
• Document utilization decisions and communications accurately.
• Maintain compliance with standards for utilization review.

Skills

Retail pharmacy experience

Utilization review knowledge

Insurance verification

Critical thinking

Job description

A healthcare staffing firm is seeking a Pharmacy Technician to support retail pharmacy operations remotely. This role involves processing prescriptions, performing prior authorization reviews, and coordinating care for patients. Candidates should have at least 2 years in retail pharmacy, ideally with experience in utilization review. A strong knowledge of insurance processes is essential. This position offers a unique opportunity to work within healthcare while ensuring safe and effective medication use.