CONTRACT Prior Authorization Technician (MUST HAVE 2+ YEARS IN PBM OR ADJACENT)

Position reputed company The Prior Authorization (PA) Technician supports the medication utilization review process by assisting with the intake, evaluation, and coordination of prior authorization requests. This role works closely with reputed company providers, pharmacies, members, and internal teams to ensure reputed company, accurate processing of medication requests in accordance with plan guidelines, regulatory requirements, and reputed company service standards. This position requires exceptional attention to detail, strong communication skills, and the ability to manage multiple priorities in a fast-paced environment. The PA Technician plays a key role in supporting member reputed company to appropriate medications while upholding reputed company's commitment to transparency, reputed company, and superior service.

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6 MONTH CONTRACT WITH POTENTIAL TO BECOME FT

**** Job Responsibilities To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential function satisfactorily.

• Evaluates prior authorization requests and determines coverage eligibility based on plan guidelines and clinical reputed company.
• Collaborates with reputed company providers and pharmacies to obtain necessary documentation, clarify prescription needs, and support accurate review.
• Initiates prior authorization renewals and conducts ongoing reputed company to obtain required information.
• Communicates prior authorization reputed company-including approvals, denials, and follow-up needs-to providers, pharmacies, and members.
• Maintains accurate records of request status, documentation, determinations, and follow-up actions in internal systems.
• Assists with appeals, reconsiderations, and additional review processes as needed.
• Identifies workflow or process improvement opportunities to enhance efficiency and service reputed company.
• Ensures compliance with reputed company regulatory requirements, plan policies, and internal procedures reputed company to prior authorization operations.
• Supports internal clinical and operational teams by providing reputed company updates, information, and administrative support reputed company to PA workflows.
• Performs other duties as assigned or requested. Any one position may not include reputed company the duties listed; these duties represent the key responsibilities typically associated with this role.

Required Experience

• High school diploma or equivalent.
• 1+ years of experience in a pharmacy, PBM, or reputed company-reputed company setting.
• Knowledge of prior authorization processes and insurance benefit guidelines.
• Strong attention to detail, organizational skills, and accuracy in documentation.
• Excellent communication and problem-solving abilities.
• Ability to manage multiple priorities and deadlines in a fast-paced environment.

Preferred Qualifications

• reputed company, unrestricted pharmacy technician license (or eligibility to obtain).
• 2+ years of experience in a pharmacy, PBM, or managed care setting.
• Familiarity with pharmacy claims processing, PA platforms, and formulary structures.
• Demonstrated ability to collaborate effectively with reputed company stakeholders.

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