Pharmacy Technician II

CareSource

. Review traditional and specialty medication prior authorization requests for members’ pharmacy benefits .

Posted 10/21/2026full-timeRemote • United StatesMid-LevelSenior💰 $35,900 - $57,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in prior authorization processes within managed care, with strong communication skills for provider interactions and a solid understanding of pharmacy benefits and medication terminology. Proficient in documentation and customer service, ensuring compliance with state regulations and departmental policies.

Highest-signal resume keywords

Managed Care Prior Authorization ExperienceRetail Pharmacy ExperiencePharmacy Technician CertificationProfessional-Level Telephone Communication SkillsKnowledge of Medicaid/Marketplace

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization SystemsMedical TerminologyMedication NamesWindows Environment ProficiencyMicrosoft WordMicrosoft OutlookMicrosoft ExcelTyping 40 Words Per MinuteDocumentation SkillsAttention to Detail

Soft Skills

Excellent Communication SkillsCustomer Service OrientationDecision-Making SkillsProblem-Solving SkillsTime Management Skills

Tools & Technologies

Fax CommunicationEmail CommunicationEPA SystemsTelephonic Interaction Systems

Certifications & Qualifications

Pharmacy Technician CertificationState Registration in Multiple States

Industry Keywords

Healthcare FieldPharmacy BenefitsFormulary AlternativesProvider EducationWorkload Aging

About the role

Key responsibilities & impact

Review traditional and specialty medication prior authorization requests for members’ pharmacy benefits
Send fax communications to providers when necessary
Contact provider offices to follow up on failed faxes
Educate CareSource providers about resources outlining formulary alternatives
Place appropriate prior authorizations in prior authorization systems
Route prior authorizations requiring pharmacist review
Answer provider calls regarding prior authorization requests, prescription coverage, and formulary issues
Perform outbound calls to obtain information from providers and/or pharmacies
Document all telephonic interactions in appropriate systems
Ensure fax, email, ePA, and other inquiries and submissions are answered within state-mandated periods
Participate in special projects as needed
Answer calls and troubleshoot issues from retail and specialty pharmacies
Assist Case Managers and Member and Provider Services with pharmacy issues, overrides, and questions
Monitor workload aging and respond with appropriate urgency
Maintain knowledge of processes and procedures for all markets on faxes and phones
Adhere to departmental and company policies and procedures
Perform other duties as requested

Requirements

What you’ll need

High School Diploma or equivalent years relevant work experience is required
Three (3) years retail pharmacy or hospital pharmacy experience is preferred
One (1) year managed care prior authorization experience is preferred
Computer proficient with knowledge in a “Windows” environment
Beginner-level Microsoft Word, Outlook, and Excel
Must type 40 words per minute (WPM)
Professional-level telephone communication skills
Familiarity with medical terminology
Familiarity with medication names
Excellent communication skills when speaking to provider offices and pharmacies
Ability to work independently and within a team environment
Ability to train/teach new employees within the department
Attention to detail
Familiarity with the healthcare field
Knowledge of Medicaid/Marketplace
Critical listening and thinking skills
Proper grammar usage
Time management skills
Proper phone etiquette
Customer service orientation
Decision-making/problem-solving skills
Leadership experience and skills
Pharmacy Technician Certification is preferred
Ability to acquire state registration in multiple states, as required
Ability to work any shift between 7am and 9pm
Flexibility to work weekends and overtime, as needed

Benefits

Comp & perks

Bonus tied to company and individual performance may be available
Comprehensive total rewards package
Employer investment in employee total well-being