Pharmacy Technician - Prior Authorization - Work From Home Oklahoma

The Pharmacy Technician will process prior authorization requests received via phone, fax, or electronic means, using various computer resources, existing criteria, and medication guidelines to conduct clinical research for prior authorization reviews. They will proactively complete prior authorization approvals and denials that are due to expire, ensuring complete, timely, and accurate documentation. Responsibilities include reviewing potential prior authorization denial language for NCQA compliance, following established prior authorization workflows, policies, and procedures. The technician will answer a high volume of prior authorization inquiry calls from provider offices, pharmacies, and internal partners, communicating prior authorization status or decisions using various computer resources. Maintaining a balance of productivity, quality, and timeliness is essential, as is participating in required training, continuing education, and team/departmental meetings. Excellent attendance is a must.