Pharmacy Technician II

CareSource

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

Posted 11/4/2026full-timeRemote • Nevada • United StatesMid-LevelSenior💰 $35,900 - $57,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in prior authorization processes within the pharmacy sector, including effective communication with providers and pharmacies. Proficient in managing workflows, adhering to policies, and utilizing technology to enhance operational efficiency.

Highest-signal resume keywords

Prior Authorization ExperienceRetail Pharmacy ExperienceManaged Care KnowledgePharmacy Technician CertificationCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pharmacy KnowledgeMedical Terminology FamiliarityTyping Speed of 40 WPMWindows ProficiencyMicrosoft WordMicrosoft OutlookMicrosoft Excel

Soft Skills

Attention to DetailCustomer Service OrientationCritical Listening SkillsTime Management SkillsDecision Making

Tools & Technologies

Prior Authorization SystemFax CommunicationEmail Communication

Certifications & Qualifications

Pharmacy Technician Certification

Industry Keywords

Healthcare FieldMedicaidMarketplacePharmacy BenefitsFormulary Alternatives

About the role

Key responsibilities & impact

Review traditional and specialty medication prior authorization requests for members’ pharmacy benefits submitted by providers
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 prior authorizations in the prior authorization system(s) when approval is appropriate
Initiate routing of 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 submissions are answered within the state-mandated period
Participate in special projects reviewed by management when needed
Answer calls and troubleshoot issues from retail and specialty pharmacies
Assist Case Managers, Member and Provider Services with pharmacy issues, overrides, and questions
Monitor current 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 job 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
Beginners 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 providers offices, as well as pharmacies
Ability to work independently and within a team environment
Ability to train/teach new employees within the department
Attention to detail
Familiarity of the healthcare field
Knowledge of Medicaid/Marketplace
Critical listening and thinking skills
Proper grammar usage
Time management skills
Proper phone etiquette
Customer service oriented
Decision making/problem solving
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
Substantial and comprehensive total rewards package
Employee total well-being support