Software Methods is seeking a full-time Pharmacy Technician Coordinator to assist our client in the West Palm Beach, FL area. This is 100% on-site.
The Pharmacy Technician Coordinator supports the clinical team by processing and managing the prior authorization (PA) requests for prescription medications. This role ensures timely and accurate handling of PA submissions, documentation, and communication with providers, members, and internal stakeholders, in compliance with PBM polices and regulatory requirements. Pharmacy Technician Certification (CPhT) is required.
Responsibilities:
Process Clinical Review Requests:
- Review incoming PA requests for completeness and accuracy.
- Enter and update PA data in the PBM system.
- Verify member eligibility and benefit coverage.
Assist Clinical Team:
- Gather necessary documentation from prescribers and members.
- Prepare cases for pharmacist or clinical review.
- Communicate PA decisions to providers and members as directed.
Compliance & Documentation:
- Maintain accurate records of all PA activities in accordance with HIPAA and PBM standards.
- Ensure adherence to state and federal regulations governing prior authorizations.
Customer Service:
- Respond to inquiries from providers, pharmacies, and members regarding PA status.
- Provide clear and professional communication to resolve issues promptly.
Operational Support:
- Collaborate with other PBM departments (e.g., Member Services, Claims) to ensure seamless processing.
- Assist in workflow improvements and participate in training initiatives.
Required Skills:
- Pharmacy Technician Certification (CPhT) required.
- High school diploma or equivalent.
- Minimum 1–2 years of experience in pharmacy operations, PBM, or healthcare setting.
- Knowledge of pharmacy terminology, drug formularies, and benefit structures.
- Proficiency in Microsoft Office and PBM software systems.
- Experience in supporting specialty medications in a clinical review capacity.
- Strong attention to detail and organizational skills.
- Excellent verbal and written communication abilities.
- Ability to work in a fast-paced, high-volume environment.
- Empathetic and patient demeanor when interacting with members and providers.
If this sounds like you, please contact us today! Unable to sponsor visas for this position. Please encourage those authorized, to work in the U.S. without a visa, to apply! No third parties please.