Pharmacy Tech

Top National Healthcare company is hiring in their Prior Authorization call center.

Fully Remote

We are seeking experienced Prior Authorization Technicians to support a high-volume inbound call center focused on the criteria-based prior authorization process for a national leading healthcare company. In this role, you will provide professional and courteous assistance to members, providers, and other healthcare professionals. You will review clinical documentation for completeness, accurately document authorization determinations, and escalated clinical questions or judgment calls to a pharmacist.

This is a fast-paced, metrics-driven environment requiring strong customer service, communication, documentation, and computer skills.

• Handle a high volume of inbound calls from members, providers, and healthcare professionals.
• Provide professional and courteous customer service while assisting callers through the prior authorization process.
• Review clinical documentation for completeness and adherence to established criteria.
• Accurately document approvals, denials, and case information in a timely manner.
• Transfer clinical questions and judgment calls to a pharmacist for further evaluation.
• Maintain accurate documentation and follow applicable regulatory requirements and internal procedures.
• Navigate multiple computer systems while managing calls and documenting information.
• Participate in outbound calls as needed based on business requirements.

• Minimum of 1 year of Pharmacy Technician experience, preferably in an administrative support, healthcare, or call center environment.
• Minimum of 1 year of high-volume customer service or call center experience; healthcare experience is preferred.
• Strong knowledge of pharmacy terminology, medication processes, and prior authorization workflows.
• The Pharmacy Technician certification is preferred but not required at a state or national level. Will also consider a Pharm Tech Trainee license.
• Excellent verbal and written communication skills.
• Strong computer skills, including proficiency with word processing, spreadsheets, and multiple systems.
• Ability to accurately document call activity, case information, approvals, and denials.
• Comfortable working in a structured, high-volume, metrics-driven environment.
• Reliable attendance and ability to commit to the full mandatory training period.
• Verifiable High School Diploma or GED required.

Average: 60-100 calls per day

Approximately 8 calls per hour, with volume fluctuating based on business needs.

Primarily inbound calls, with some outbound activity as needed.

Work hours vary from 8am to 8pm CT. Monday - Friday

Training: 8:00 AM - 4:30 PM CT, Monday-Friday for 6 weeks

Training Attendance:
Critical, no interruptions preferred

Mandatory OT.

Equal Opportunity

Employer:

Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.