Remote Senior Pharmacy UM Technician - Prior Authorization

AffirmedRx; United States; Remote; USD 34,000 - 55,000; Full time

Job summary

AffirmedRx is seeking a non-clinical UM administrator to handle prior authorization reviews and act as a liaison among providers, pharmacies, members, and internal teams. The role focuses on timely authorizations and accurate record-keeping in UM systems.

The ideal candidate holds a health-related bachelor’s degree with 5+ years as a pharmacy technician, including UM experience, and strong data entry, documentation, and cross-functional collaboration skills.

Qualifications

• Bachelor’s degree in a health or related field.
• 5+ years of pharmacy technician experience, with at least 3 years in UM or related operations.
• Experience with prior authorization processes and UM workflows.
• Strong data entry, documentation, and communication skills.
• Ability to work cross-functionally and coach junior staff.
• Knowledge of HIPAA and regulatory requirements in a payer or health plan setting.

Responsibilities

• Receive, process, and conduct non-clinical review of prior authorization requests.
• Verify member eligibility, benefit coverage, and administrative details.
• Enter and maintain authorization records in UM and related systems.
• Assess submissions for completeness and elevate to a pharmacist when needed.
• Prepare cases for pharmacist review and communicate status to providers and members.
• Monitor work queues, support appeals, audits, and regulatory activities.

Skills

Data entry

Documentation

Communication

Cross-functional collaboration

Coaching junior staff

Education

Bachelor’s degree in a health or related field

Job description

AffirmedRx is seeking a non-clinical UM administrator to handle prior authorization reviews and act as a liaison among providers, pharmacies, members, and internal teams. The role focuses on timely authorizations and accurate record-keeping in UM systems.

The ideal candidate holds a health-related bachelor’s degree with 5+ years as a pharmacy technician, including UM experience, and strong data entry, documentation, and cross-functional collaboration skills.