Pharmacy Technician in Framingham, MA

Pharmacy - Pharmacy Technician 17 days ago Framingham, MA

A remote Pharmacy Technician opportunity is available for experienced professionals holding current PTCB certification. This role involves supporting Medicare Part B utilization management through prior authorization processing and collaboration with healthcare providers.

Location: Remote
Job Type: Temp-to-Hire
Schedule:

  • Monday to Friday, 11:30 AM 8:00 PM ET and 9:30 AM 6:00 PM ET shifts
  • Mandatory rotating weekends
  • No days off from 01/01/2027 to 03/31/2027 except emergencies
    Duration: 6-month contract (10/01/2026 03/31/2027)

Key Responsibilities:

  • Review and process prior authorization requests using established policies and decision trees
  • Triage and enter incoming prior authorization requests from provider offices
  • Support Medicare Part B medication prior authorizations and preferred product strategies
  • Obtain clinical documentation from providers and hospitals for authorization reviews
  • Communicate authorization decisions and follow up with providers and members
  • Assist members and providers in identifying alternative treatment options when necessary
  • Provide operational support to Pharmacy Technicians, Pharmacists, and Physicians to ensure timely, accurate decisions
  • Act as a point of contact for internal teams, external providers, and operational partners
  • Support offshore clinical partners involved in utilization management pharmacy workflows
  • Interpret plan benefits and enter specialty pharmacy overrides to support proper claim adjudication

Qualifications:

  • Active PTCB certification required
  • Minimum 3 years of experience as a Pharmacy Technician
  • Proven experience with Medicare Part B operations, including utilization management, prior authorizations, medical benefits, or pharmacy help desk operations
  • Experience working with the Medicare population preferred
  • Proficient with multiple computer systems and Google Workspace/G Suite
  • Strong attention to detail and excellent organizational skills
  • Effective verbal and written communication skills
  • Prior utilization management and prior authorization experience highly desired

This temp-to-hire position is ideal for Pharmacy Technicians seeking a dynamic remote role focused on Medicare Part B prior authorizations. Qualified candidates with a strong background in pharmacy operations are encouraged to apply and advance their career in a supportive, fast-paced environment.

Compensation for this position ranges from $18.00 to $22.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date.

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