Pharmacy Technician

Pomona Valley Corp - 1131 W. Sixth Street, Suite 350 Ontario, CAfull time

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H1B: no

Akido Labs The Pharmacy Technician – Prior Authorization Specialist manages medication prior authorization requests across all clinics, ensuring timely approvals and continuity of care. This role liaises between providers, patients, pharmacies, insurance carriers, and clinical staff to process and monitor authorization requests.

Responsibilities

Serve as the primary resource for medication prior authorization processes across all clinics.
Manage a high-volume authorization workload while maintaining quality and accuracy standards.
Review insurance eligibility, pharmacy benefits, and formulary requirements.
Coordinate peer-to-peer review requests and appeal submissions when necessary.
Maintain knowledge of payer-specific authorization requirements and medication coverage policies.
Partner with providers and clinical leadership to improve authorization workflows and reduce delays in patient care.
Monitor authorization metrics and contribute to process improvement initiatives.
Provide exceptional customer service to patients by addressing medication access concerns and providing timely updates.
Participate in department meetings, training programs, and organizational projects as assigned.
Support compliance efforts by ensuring complete and accurate documentation of authorization activities.

Qualification

Active Pharmacy Technician registrationKnowledge of pharmacy terminologyStrong organizationalFamiliarity with population healthBilingual skills preferredPhysical Requirements

Required

High school diploma or equivalent required.
Active Pharmacy Technician registration, license, or certification as required by state regulations.
Minimum of one (1) year of experience as a Pharmacy Technician, healthcare authorization specialist, or related healthcare role.
Experience processing medication prior authorizations and working with commercial, Medicare, and Medicaid insurance plans.
Knowledge of pharmacy terminology, medication classifications, and insurance benefit structures.
Experience utilizing electronic health records (EHR) and payer authorization portals.
Strong organizational, analytical, and problem-solving skills.
Excellent verbal and written communication skills.
Ability to manage multiple priorities and meet established deadlines.
Proficiency in Microsoft Office applications and healthcare technology systems.

Preferred

Certified Pharmacy Technician (CPhT) credential.
Two (2) or more years of prior authorization experience in a medical group, specialty pharmacy, managed care, or outpatient healthcare setting.
Experience with electronic prior authorization platforms.
Knowledge of specialty medications and high-cost therapeutic treatments.
Familiarity with population health, value-based care, and integrated healthcare delivery models.
Bilingual skills preferred.
Physical Requirements:
Ability to sit and/or stand for prolonged periods of time.

Company

Akido Labs

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Source: greenhouse

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