Pharmacy Technician – Coverage Determination Technician

Birmingham, AL - Remote

Job ID: 35940

Posted: 2024-12-09

Employment Type: Contract

USD Pay Rate: $18 Hour

Are you a licensed Pharmacy Technician with a knack for precision and a desire to make a meaningful impact? As a Contract Coverage Determination Technician, you’ll play a vital role in evaluating prior authorization requests, ensuring accurate determinations while providing critical support to healthcare providers and patients.

Benefits & Extras

• Fully remote role—work from the comfort of your home!
• Comprehensive training to set you up for success.
• Equipment provided for seamless onboarding and performance.

Compensation: $17–$18/hr.

What You’ll Be Doing

• Reviewing PA requests to determine approval or rejection.
• Utilizing pharmacy and PBM systems for efficient data entry and analysis.
• Supporting healthcare providers through accurate, timely determinations.
• Maintaining detailed records of authorizations and decisions.
• Learning and navigating internal systems to ensure operational excellence.

What You’ll Need to be Considered

• Experience in hospital, retail, or PBM call center pharmacy environments.
• Familiarity with PA processes, including acceptance or rejection procedures.
• Reliable high-speed internet and a distraction-free home office setup.