Prior Authorization Pharmacy Technician - Licensed Pharmacy Tech -Work from Home

Sagility • Time, IL

1d • Remote

About The Position

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. Job title: Prior Authorization Pharmacy Technician - Licensed Pharmacy Tech -Work from Home Job Description: Sagility is seeking a Prior Authorization Licensed Pharmacy Technician to join our team in a fully remote capacity. This role offers the opportunity to work in a fast-paced, collaborative environment supporting critical pharmacy operations and patient access to medications. In this position, you will review, research, and process prior authorization requests to ensure accuracy, compliance, and timely outcomes. The ideal candidate brings strong attention to detail, critical thinking skills, and the ability to communicate effectively with healthcare providers and internal teams. Note: Candidates must hold an active, unrestricted Pharmacy Technician license in the state of Arizona. Sagility is seeking a Prior Authorization Unlicensed Pharmacy Technician to join our dynamic, connected culture! Our motivated, Prior Authorization Unlicensed Pharmacy Technician will assist our members with calls regarding non-formulary medications, prior authorizations, and up-tier medication requests Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. Already keen? Discover your next role with Sagility, a great place to work.

Requirements

• Active, unrestricted Pharmacy Technician license in Arizona (AZ)
• Previous experience as a Pharmacy Technician, preferably in prior authorization, managed care, or specialty pharmacy
• Demonstrated experience with prior authorization processes, including specialty medications, precertification, and retrospective reviews
• Strong analytical and problem-solving skills with the ability to interpret clinical and benefit information
• Excellent communication skills with a focus on professionalism and customer service
• Ability to work independently in a remote environment while managing productivity and quality expectations
• 1 year of experience in a pharmacy or medical field (e.g., pharmacy, health insurance, medical office)
• High School Diploma or GED required
• Must obtain and maintain an Arizona State Board Pharmacy Technician License within 9 months of hire
• Must obtain and maintain Pharmacy Technician Certification Board (PTCB) Certification within 9 months of hire
• Intermediate PC proficiency with word processing, spreadsheets, and claims/imaging systems
• Ability to establish and maintain collaborative working relationships
• Strong organizational skills with the ability to prioritize workflow
• Ability to compose clear and professional business correspondence
• Ability to use available information to prioritize tasks and support team objectives

Nice To Haves

• 3 years of experience with Pharmacy Benefit Management (PBM) or prescription claims administration
• 1 year of Prior Authorization experience
• 2 years of experience handling confidential information
• Advanced PC proficiency with word processing, spreadsheets, and claims/imaging systems
• Strong interpersonal communication skills
• Multicultural awareness and sensitivity
• Experience with pharmacy vendor claim systems

Responsibilities

• Process prescription prior authorization requests submitted by healthcare providers with accuracy and efficiency
• Review and research complex and compound prescriptions to support appropriate coverage decisions
• Conduct outbound outreach to providers to obtain additional or clarifying information as needed
• Partner with pharmacists by providing prior authorization recommendations based on benefit plan design and coverage guidelines
• Coordinate and process specialty medication reviews across both pharmacy and medical benefits
• Maintain up-to-date knowledge of pharmacy and medical claims processing systems and requirements
• Assist our members with calls regarding non-formulary medications, prior authorizations, and up-tier medication requests

Benefits

• Medical, Dental, and Vision coverage.
• Life Insurance.
• Short-Term and Long-Term Disability options.
• Flexible Spending Account (FSA).
• Employee Assistance Program.
• 401(k) with employer contribution.
• Paid Time Off (PTO).
• Tuition Reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees