Pharmacy Technician – Seasonal

SmithRx

. Assist members, providers, pharmacies, and internal SmithRx teams with prescription complexities and timely coverage of clinically appropriate, cost-effective medication therapy .

Posted 9/23/2026contractRemote • United StatesJuniorMid-Level💰 $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in prior authorization review and claims processing, with a strong focus on clinical decision-making and effective communication across diverse stakeholders. Proficient in utilizing technology tools to manage and prioritize complex medication therapy cases.

Highest-signal resume keywords

Active Pharmacy Technician LicensePrior Authorization Review ExperienceClaims ProcessingCritical ThinkingProficiency in MS Office

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization ReviewClaims ProcessingMedication Therapy ManagementClinical Decision-MakingBasic CalculationsDrug Coverage VerificationCase ManagementPharmacy OutreachEligibility VerificationProtocol Adherence

Soft Skills

Active ListeningEmpathyTime ManagementMultitaskingClear Communication

Tools & Technologies

MacMS OfficeG-SuiteClaim Adjudication System

Certifications & Qualifications

High School Diploma or GEDActive Pharmacy Technician License

Industry Keywords

Pharmacy Benefit Manager (PBM)Health PlanMedication PoliciesClinical ReviewCost-Effective Medication Therapy

About the role

Key responsibilities & impact

Assist members, providers, pharmacies, and internal SmithRx teams with prescription complexities and timely coverage of clinically appropriate, cost-effective medication therapy
Coordinate clinical review cases and check coverage and plan rules
Verify submitted information and conduct pharmacy and provider outreach
Review prior authorization requests within established protocols
Triage and troubleshoot questions and escalations
Verify eligibility and drug coverage to determine appropriate claims processing
Triage clinical review for prior authorization requests at different levels
Review prior authorization requests using criteria, claims history, and plan benefit rules
Organize and prioritize requests for timely prior authorization case management
Build and adjust authorizations in the claim adjudication system
Navigate drug products and formulations and perform basic calculations to monitor accurate claims adjudication
Coordinate outreach across teams and help guide processes and protocols
Evaluate member clinical situations against medication policies and approve or triage cases to a Pharmacist for denial
Determine when medications require internal or external review
Contact selected external stakeholders for approval on drugs with dollar limits

Requirements

What you’ll need

High School diploma or GED or equivalent work experience
Active Pharmacy Technician license required
2-4 years of experience as a Pharmacy Technician
Experience in prior authorization review, specifically working on the approval side at a PBM or health plan, preferred
Proficiency in Mac, MS Office, and G-Suite required
Critical thinking to navigate complex customized benefit plans and make sound clinical decisions
Active listening and conversational speaking skills, with a high degree of empathy
Ability to multitask, prioritize, and manage time effectively
Ability to communicate clearly and present complex information to members, clients, pharmacies, providers, and internal teams
Ability to work accurately within protocols and follow appropriate escalation pathways

Benefits

Comp & perks

Time off programs
Medical insurance
Dental insurance
Vision insurance
Mental health support
Paid parental leave
Life insurance
Disability insurance
401(k)
Potential eligibility for bonuses, commissions, or equity