Pharmacy Technician - Prior Authorization Specialist (39897)

COMMUNITY HEALTH CARE•Lakewood, WA

1d•$24 - $34•Onsite

About The Position

Community Health Care is a leading non-profit organization that offers quality health care to underserved patients in Pierce County. We provide comprehensive family practice care, including medical, dental, pharmacy, and behavioral health services in our seven clinics. We seek to continuously improve our commitment and service to our patients and community We want you to join us in our mission to provide the highest quality healthcare with compassionate and accessible service for all We offer a competitive benefits package including Medical, Dental, Paid Vacation, Sick Leave, 12 Paid Holidays, Life Insurance, Flexible Spending Account, Continuing Education, Employee Assistant Program and more! We are looking for a Pharmacy Technician Prior Authorization Specialist to join our team. In this role, you'll be responsible for managing and processing prior authorization (PA) requests, ensuring accuracy, efficiency, and compliance with client standards and turnaround times.

Requirements

Current Pharmacy Technician License Required
High School Education or GED
One year Pharmacy Technician related experience and or training
We encourage anyone with a relevant combination of education and experience to apply

Responsibilities

Accurately enter non-clinical and structured clinical data into Nextgen and other applications
Document all PA outcomes approvals or denials
Complete PA requests within established client turnaround times
Review medication formularies and evaluate tried-and-failed alternatives
Follow defined guidelines separating PA processing and clinical decisions
Research and resolve PA issues using phone and written inquiries to providers, pharmacies, members, or SMEs
Coordinate notifications and follow-up regarding pending requests and PA determinations
Make outbound calls to update or obtain PA information
Partner with clinical teams on PA requirements and special projects
Provide staff support during high-volume PA periods
Maintain PA and member confidentiality; ensure proper document handling
Establish strong rapport with colleagues, providers, clients, and patients
Contribute to Quality Assurance Improvement initiatives
Serve as SME and mentor for nurses and provider teams
Ensure provider access to managed-care formularies
Troubleshoot PA issues and educate staff on compliance
Act as Pharmacy Technician backup as needed
Perform other duties as assigned