Category Pharmacy - Pharmacy Technician Job Type Contract Join a dynamic healthcare team as a Remote Pharmacy Technician supporting Medicare Part B operations. This temp-to-hire opportunity offers a chance to leverage your expertise in prior authorizations and utilization management while working remotely with a flexible schedule. Candidates must hold current PTCB certification and have relevant experience serving Medicare populations.

Responsibilities include:

Reviewing and processing prior authorization requests following established policies and decision trees Receiving and entering prior authorization requests from provider offices Supporting Medicare Part B medication prior authorizations and preferred product strategies Contacting providers and hospitals to gather clinical documentation for authorization review Communicating authorization decisions and providing follow-up to providers and members Assisting with alternative treatment options when needed Providing operational support to Pharmacy Technicians, Pharmacists, and Physicians for timely decisions Serving as a liaison for internal teams, external providers, and operational partners Supporting offshore clinical partners involved in utilization management workflows Interpreting plan benefits and entering specialty pharmacy overrides for accurate claim adjudication

Required Qualifications:

PTCB certification is mandatory Minimum of 3 years' experience as a Pharmacy Technician Experience with Medicare Part B operations, especially utilization management, prior authorizations, or pharmacy help desk roles Familiarity working with Medicare populations Proficiency with multiple computer systems and Google Workspace or G Suite Strong attention to detail and organizational abilities Excellent verbal and written communication skills Prior utilization management and prior authorization experience highly preferred

Schedule:

Monday to Friday, either 11:30 AM - 8:00 PM ET or 9:30 AM - 6:00 PM ET Mandatory rotating weekends No days off during the last three months except emergency situations This role is fully remote; all necessary equipment will be provided. The initial contract runs six months with an opportunity for permanent placement. Take the next step to advance your career supporting Medicare pharmacy services—apply today to be considered! Compensation for this position ranges from $18.50 to $29.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found . This posting is open for 60 days after the posting date. Equal Opportunity Employer Minorities/Women/Veterans/Disabled