Remote Pharmacy Technician, Utilization Management

Navitus Health Solutions / Lumicera Health Services; United States; Remote; USD 25,000 - 36,000; Full time

Benefits offered by this job

Health, Dental, Vision insurance

20 days paid time off

4 weeks paid parental leave

9 paid holidays

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Pro/Mb

Referral Bonus Program – up to $750

Job summary

Archimedes is seeking a Pharmacy Technician, Utilization Management to join our team remotely in the United States. The role supports first-level review of specialty medication prior authorizations, high-cost case management, and internal policy development.

You will interact with physicians, nurses, pharmacists, and members to obtain documentation and provide drug cost information. The position requires a high school diploma or GED and an active Pharmacy Technician license; hospital/managed

Qualifications

• High school diploma or GED is required.
• Licensed Pharmacy Technician.
• Pharmacy, Hospital, or Managed Care experience preferred.
• Participate in, adhere to, and support compliance program objectives.
• Ability to interact cooperatively and respectfully with other employees.

Responsibilities

• Develop and deliver follow up messages to physicians and members related to prior authorization and high-cost case management documentation.
• Manage high-cost management and retroactive drug utilization cases and coordinate outreach.
• Manage queues for prior authorization, high-cost cases, claims editing, and clinical policy processes.
• Perform prior authorization case management for administrative denial and low-clinical acuity cases.
• Participate in special projects and process improvements to support priorities.
• Handle ticket work by tracking requests and ensuring timely resolution or escalation.
• Contact prescribers to obtain missing information for case reviews.
• Document outreach attempts and responses in applicable systems.
• Other duties as assigned.

Skills

Communication

Teamwork

Education

High school diploma or GED

Licensed Pharmacy Technician

Job description

Archimedes is seeking a Pharmacy Technician, Utilization Management to join our team remotely in the United States. The role supports first-level review of specialty medication prior authorizations, high-cost case management, and internal policy development.

You will interact with physicians, nurses, pharmacists, and members to obtain documentation and provide drug cost information. The position requires a high school diploma or GED and an active Pharmacy Technician license; hospital/managed