[Hiring] Prior Authorization Pharmacy Technician - Licensed Pharmacy Tech @Sagility

Role Description

Sagility is seeking a Prior Authorization Licensed Pharmacy Technician to join our team in a fully remote capacity. This role offers the opportunity to work in a fast-paced, collaborative environment supporting critical pharmacy operations and patient access to medications.

In this position, you will:

• Review, research, and process prior authorization requests to ensure accuracy, compliance, and timely outcomes.
• Bring strong attention to detail, critical thinking skills, and the ability to communicate effectively with healthcare providers and internal teams.

Responsibilities

• Process prescription prior authorization requests submitted by healthcare providers with accuracy and efficiency.
• Review and research complex and compound prescriptions to support appropriate coverage decisions.
• Conduct outbound outreach to providers to obtain additional or clarifying information as needed.
• Partner with pharmacists by providing prior authorization recommendations based on benefit plan design and coverage guidelines.
• Coordinate and process specialty medication reviews across both pharmacy and medical benefits.
• Maintain up-to-date knowledge of pharmacy and medical claims processing systems and requirements.

Qualifications

• Active, unrestricted Pharmacy Technician license in Arizona (AZ).
• Previous experience as a Pharmacy Technician, preferably in prior authorization, managed care, or specialty pharmacy.
• Demonstrated experience with prior authorization processes, including specialty medications, precertification, and retrospective reviews.
• Strong analytical and problem-solving skills with the ability to interpret clinical and benefit information.
• Excellent communication skills with a focus on professionalism and customer service.
• Ability to work independently in a remote environment while managing productivity and quality expectations.

Requirements

• 1 year of experience in a pharmacy or medical field (e.g., pharmacy, health insurance, medical office).
• High School Diploma or GED required.
• Must obtain and maintain an Arizona State Board Pharmacy Technician License within 9 months of hire.
• Must obtain and maintain Pharmacy Technician Certification Board (PTCB) Certification within 9 months of hire.

Preferred Qualifications

• 3 years of experience with Pharmacy Benefit Management (PBM) or prescription claims administration.
• 1 year of Prior Authorization experience.
• 2 years of experience handling confidential information.

Required Job Skills

• Intermediate PC proficiency with word processing, spreadsheets, and claims/imaging systems.

Required Professional Competencies

• Ability to establish and maintain collaborative working relationships.
• Strong organizational skills with the ability to prioritize workflow.
• Ability to compose clear and professional business correspondence.

Required Leadership Competencies

• Ability to use available information to prioritize tasks and support team objectives.

Preferred Job Skills

• Advanced PC proficiency with word processing, spreadsheets, and claims/imaging systems.

Preferred Professional Competencies

• Strong interpersonal communication skills.
• Multicultural awareness and sensitivity.
• Experience with pharmacy vendor claim systems.

What to Expect

• On-camera participation during interviews, training, team meetings, and regular check-ins.
• Face-to-face discussions sparking collaboration and engagement.
• A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions.

Benefits

• Medical, Dental, and Vision coverage.
• Life Insurance.
• Short-Term and Long-Term Disability options.
• Flexible Spending Account (FSA).
• Employee Assistance Program.
• 401(k) with employer contribution.
• Paid Time Off (PTO).
• Tuition Reimbursement.

Alert

Please beware of fraudulent communications from profiles impersonating Sagility or its employees. All official communication from Sagility will come from our verified email domains: “@sagility.com” or “@sagilityhealth.com”. Sagility will never ask for payments for job offers, interviews, or otherwise. Do not respond to suspicious communications, whether via email, WhatsApp, or any social platform. For any concerns, contact us directly through our official website.

Location

Work@Home Nationwide, United States of America