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Pharmacy Technician – Specialty
Rightway. Serve as the direct member and provider contact for specialty pharmacy benefit information, prior authorization requests, and navigation support via telephone, chat, fax, email, or written correspondence .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in specialty pharmacy operations, including prior authorization processes, claims adjudication, and patient assistance programs. Possesses strong communication skills to effectively support members and providers while ensuring compliance with regulatory standards.
Highest-signal resume keywords
Certified Pharmacy Technician (CPhT)Pharmacy Claims AdjudicationPrior Authorization CoordinationPatient Assistance EnrollmentBilingual Spanish
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Specialty Pharmacy Benefit InformationMedication Adherence SupportPrescription FulfillmentBenefit Design KnowledgeClaims Adjudication
Soft Skills
Detail-OrientedAdaptableCritical ThinkerEmpatheticAbility to Multitask
Certifications & Qualifications
Certified Pharmacy Technician (CPhT)
Industry Keywords
Managed Care SettingSpecialty PharmacyPatient Healthcare ExperienceConcierge-Level ServiceRegulatory Standards
About the role
Key responsibilities & impact- Serve as the direct member and provider contact for specialty pharmacy benefit information, prior authorization requests, and navigation support via telephone, chat, fax, email, or written correspondence
- Support members enrolled in specialty management programs before medication receipt by coordinating prior authorization, prescription fulfillment, patient assistance enrollment, and billing questions
- Follow up after medication receipt to ensure member satisfaction, connect members with pharmacists for clinical questions, and coordinate future refills
- Answer and resolve questions from members, human resources departments, pharmacies, and providers about specialty distribution, benefit design, formulary coverage, medication costs, prior authorization criteria, claims adjudication, copay/patient assistance, and related issues
- Support Specialty Clinical Pharmacists with patient and provider outreach, appointment scheduling, copay or patient assistance enrollment, medication adherence support, and administrative tasks
- Help meet operating and productivity standards, including quality reviews of calls, chats, and documentation notes
- Ensure regulatory and privacy standards are met
- Provide support to other Clinical Operations teams, including utilization management and navigation
Requirements
What you’ll need- Associate’s or Bachelor’s degree preferred
- 1–2 years’ experience in a pharmacy technician role within a Specialty pharmacy, PBM, pharmacy department of a health plan, or similar managed care setting
- Active Certified Pharmacy Technician (CPhT)
- Detail-oriented, adaptable, critical thinker, and empathetic
- Ability to understand issues deeply, identify root causes, and resolve them
- Desire to improve a patient’s healthcare experience and provide concierge-level service
- Knowledge of pharmacy claims adjudication and benefit designs/terminology
- Ability to multitask and prioritize work
- Ability to work independently
- Bilingual Spanish preferred
Benefits
Comp & perks- Concierge-level service environment focused on improving members’ healthcare experience
- Equal opportunity and inclusive workplace culture
- Diverse thought, beliefs, backgrounds, and education valued