Location
Texas City, TX, United States
Posted
July 11, 2026
Job Description
Job Title: Pharmacy Technician IJob Description
The Pharmacy Technician I tracks and triages coverage determination requests for prior authorizations and Medicare Part D recipients. This role focuses on evaluating requests against defined criteria, coordinating with prescribers and providers, and accurately documenting decisions in the pharmacy benefit management (PBM) system to ensure timely and compliant authorization processing.
Responsibilities
+ Track and triage coverage determination requests submitted by providers for prior authorizations and Medicare Part D recipients.
+ Review incoming coverage determination requests and determine when a pharmacist review is required based on established guidelines.
+ Obtain verbal authorizations from prescribers and request detailed clinical information needed to support coverage determinations.
+ Approve coverage determination requests in accordance with defined criteria and organizational policies.<...
The Pharmacy Technician I tracks and triages coverage determination requests for prior authorizations and Medicare Part D recipients. This role focuses on evaluating requests against defined criteria, coordinating with prescribers and providers, and accurately documenting decisions in the pharmacy benefit management (PBM) system to ensure timely and compliant authorization processing.
Responsibilities
+ Track and triage coverage determination requests submitted by providers for prior authorizations and Medicare Part D recipients.
+ Review incoming coverage determination requests and determine when a pharmacist review is required based on established guidelines.
+ Obtain verbal authorizations from prescribers and request detailed clinical information needed to support coverage determinations.
+ Approve coverage determination requests in accordance with defined criteria and organizational policies.<...