Pharmacy Technician Specialist I - Prior Authorizations, Downtown Health Plaza and Kennedy Hopkins Clinics

Pharmacy Technician Specialist I - Prior Authorizations, Downtown Health Plaza and Kennedy Hopkins Clinics Atrium Health - 3.7 Winston-Salem, NC Job Details Full-time $24.10 - $36.15 an hour 1 day ago Benefits Paid parental leave Disability insurance Health insurance Dental insurance Flexible spending account Tuition reimbursement Paid time off Adoption assistance Parental leave Vision insurance Retirement plan Qualifications Pharmacy Technician License High school diploma or

GED Full Job Description Department:

12847 Wake Forest Baptist Medical Center -

Administration:

Regional Facilities;

Downtown Hlth Plz Status:

Full time

Benefits Eligible:

Yes Hou rs

Per Week:

40

Schedule Details/Additional Information:

Mondays-Fridays 8a-5p Pay Range $24.10 - $36.15 Position Highlights Fully onsite clinic-supporting role Full-Time, Days 1st shift, M-F, 8a-5p Winston Salem, Downtown Health Plaza and Winston East (Kennedy Hopkins Clinic) Bilingual (Spanish-speaking) preferred but not required. $6,000 sign-on bonus eligible position for qualified candidates! Click here for more information!

Summary:

Supports two primary care clinics by managing medication prior authorization (PA) processes. Serves as a liaison between providers, payers, pharmacies, and patients to ensure timely medication access. Works under pharmacist and/or clinic leadership to optimize medication access outcomes.

Major Responsibilities:

Complete and submit prior authorization requests for medications prescribed in primary care clinics Review patient charts and insurance requirements to gather necessary clinical documentation Prepare and submit PA forms via EHR, payer portals, and fax systems as required Track and follow up on submitted prior authorizations to ensure timely approvals or denials Communicate PA status updates to providers, nurses, and care teams in a timely manner Partner closely with embedded pharmacists (if applicable) for complex cases Communicate with payers and pharmacy benefit managers (PBMs) to obtain coverage details Coordinate appeals and resubmissions for denied authorizations as directed Identify formulary alternatives and escalate to pharmacists/providers when appropriate Maintain accurate documentation of all PA activity within the electronic health record Collaborate with clinic staff to resolve medication access barriers (coverage, cost, delays) Support urgent or high-priority requests to prevent interruptions in patient therapy Complies with legal, regulatory, and accreditation standards. Keeps current with changes in the specialized field and collaborates with department leadership to adopt best practices. Maintains updated knowledge and skills and contributes to the education of others. Contributes positively to execution of pharmacy department initiatives Accepts assignments of tasks from other pharmacy teammate roles when workload dictates.

What You Will Need:

High school diploma or GED equivalent required. For technicians in NC with validating technician responsibilities- an associate's degree in pharmacy technology is required per guidelines on PTCB. Registration/Licensure with state board of pharmacy per state of employment requirements. Certification through Pharmacy Technician Certification Board (CPhT) or National Health Career Association (ExCPT) required. Nice to Have (Not Required): Experience with prior authorizations, insurance processing, or ambulatory pharmacy workflows preferred. Familiarity with Epic or similar EHR systems preferred. Strong understanding of insurance plans, formularies, and medication access processes. Bilingual (Spanish-speaking) preferred but not required. Key Skills Strong attention to detail and ability to manage high-volume workflows. Effective communication with interdisciplinary teams. Time management and prioritization across multiple clinics. Problem-solving skills related to medication access barriers. Ability to navigate payer systems and documentation requirements. Performance Focus Areas Turnaround time for PA submissions. Approval rate and appeal success rate. Timely communication with clinic teams. Reduction in delays to therapy initiation. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to

You:

Advocate Health offers a comprehensive suite of

Total Rewards:

benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs

Educational Assistance Program Note:

Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. Performs services and functions within assigned area(s) where complex pharmaceutical processes require the utilization of advanced skills and knowledge beyond those routinely required across pharmacy technician roles. Works primarily in unique pharmacy environments.