UM Operations Lead — Senior Pharmacy Technician

AffirmedRx, a Public Benefit Corporation; Louisville (KY); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Competitive compensation

Health, dental, vision benefits

Job summary

AffirmedRx, a Public Benefit Corporation, is seeking a Senior Pharmacy Technician, Utilization Management, to lead non-clinical UM operations and serve as a subject matter expert for technicians. The role coordinates workflows, trains staff, and ensures compliant, timely authorization processes while protecting PHI and supporting regulatory activities.

The position requires a Bachelor's degree in a related field, 5+ years in pharmacy tech roles with UM experience, and active CPhT credentials.

Qualifications

• Bachelor's degree in a related field as listed in the job post.
• 5+ years pharmacy technician experience, with at least 3 years in UM or related operations.
• Active pharmacy technician registration and CPhT credential.
• Experience leading workflows and supervising others in a UM environment.

Responsibilities

• Receive and conduct non-clinical review of prior authorization requests.
• Verify eligibility, benefits, and authorization requirements; maintain records.
• Lead day-to-day UM operations and act as subject matter expert for technicians.
• Coordinate workflows, provide training, and escalate clinical questions to a pharmacist.
• Lead implementation and optimization of prior authorization technology and processes.
• Support audits, accreditation activities, and compliance initiatives.
• Travel 10-20% as needed.

Skills

Analytical skills

Organizational skills

Communication skills

Customer service

Problem solving

Education

Bachelor's degree in Healthcare Administration/Business Administration/Pharmacy/Health Sciences

Tools

Microsoft Office

UM systems

Job description

AffirmedRx, a Public Benefit Corporation, is seeking a Senior Pharmacy Technician, Utilization Management, to lead non-clinical UM operations and serve as a subject matter expert for technicians. The role coordinates workflows, trains staff, and ensures compliant, timely authorization processes while protecting PHI and supporting regulatory activities.

The position requires a Bachelor's degree in a related field, 5+ years in pharmacy tech roles with UM experience, and active CPhT credentials.