Pharmacy Technician in 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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