Remote PBM Prior Authorization Pharmacy Technician (Looking for PBM, Call Center, and PA experience)

Remote Pharmacy Technician I – Prior Authorization (Contract-to-Hire)

Pay Rate: $20/hour
Schedule: Monday–Friday between 11:00 AM – 11:00 PM CST (8.5-hour shift with 30-minute lunch; shift assigned based on business needs)
Start Date: May 18, 2026
Contract Length: 6 months (contract-to-hire)
Work Type: Fully Remote

Position Overview

We are seeking a Pharmacy Technician I – Prior Authorization to support a high-volume, fast-paced environment. This role is responsible for handling inbound calls from providers, pharmacies, and members, assisting with the prior authorization process, and ensuring accurate and timely documentation.

Key Responsibilities

• Handle inbound calls and provide professional, courteous assistance
• Process prior authorization requests using established criteria
• Document approvals, denials, and all interactions accurately and timely
• Escalate clinical questions and judgment-based decisions to pharmacists
• Conduct outbound calls as needed
• Review and process prior authorizations via fax and electronic systems (ePA)
• Monitor and respond to department mailboxes
• Perform additional administrative duties as assigned

• Required Qualifications

  • Minimum 2 years of experience in a high-volume call center (healthcare, PBM, or prior authorization strongly preferred)
  • At least 1 year of pharmacy technician experience in an administrative or support role
  • Active Pharmacy Technician license or certification (no restrictions)
  • Eligible for state registration/licensure as required
  • Familiarity with medical terminology and coding
  • Strong computer skills (word processing, spreadsheets, multitasking systems)
  • Excellent written and verbal communication skills
  • High School Diploma or GED (required)
  
  

  Work-from-Home Requirements

  • Dedicated, distraction-free workspace (HIPAA-compliant)
  • Wired internet connection with:
  • • Minimum 25 Mbps download speed
    • Minimum 3 Mbps upload speed
  • Ability to remain seated and focused for the duration of the shift
  • Must not be the primary caregiver during working hours
  
  

  Training

  • Monday–Friday training for approximately 5 weeks (schedule TBD)
  • Full attendance during training is required
  
  

  Candidate Screening Questions

  Please include answers to the following with your application:

  1. Do you have a separate, distraction-free workspace suitable for remote work?
  2. Do you have any conflicts with the training schedule or planned time off during the assignment?
  3. Do you have wired internet that meets minimum speed requirements?
  4. Are you able to sit and focus without interruptions for the full shift?

  Additional Requirements:

  • Provide a screenshot of your internet speed (www.speedtest.net)(Need both download and upload)
  • Provide a screenshot of your active license/certification
  
  

  Additional Notes

  • Preference for candidates located on the West Coast due to later shift coverage
  • This is a high-volume, customer-facing role requiring strong attention to detail and multitasking ability