Remote PBM Prior Authorization Pharmacy Technician (Looking for PBM)
Los Angeles, CA | Fully Remote
Job Description
Remote Pharmacy Technician I – Prior Authorization (Contract-to-Hire)
Pay Rate: $20/hour
Schedule: Monday–Friday between 11:00 AM – 11:00 PM CST (8.5-hour shift with 30-minute lunch; shift assigned based on business needs)
Start Date: May 18, 2026
Contract Length: 6 months (contract-to-hire)
Work Type: Fully Remote
Position Overview
We are seeking a Pharmacy Technician I – Prior Authorization to support a high-volume, fast-paced environment. This role is responsible for handling inbound calls from providers, pharmacies, and members, assisting with the prior authorization process, and ensuring accurate and timely documentation.
Key Responsibilities
- Handle inbound calls and provide professional, courteous assistance
- Process prior authorization requests using established criteria
- Document approvals, denials, and all interactions accurately and timely
- Escalate clinical questions and judgment-based decisions to pharmacists
- Conduct outbound calls as needed
- Review and process prior authorizations via fax and electronic systems (ePA)
- Monitor and respond to department mailboxes
- Perform additional administrative duties as assigned
Required Qualifications
- Minimum 2 years of experience in a high-volume call center (healthcare, PBM, or prior authorization strongly preferred)
- At least 1 year of pharmacy technician experience in an administrative or support role
- Active Pharmacy Technician license or certification (no restrictions)
- Eligible for state registration/licensure as required
- Familiarity with medical terminology and coding
- Strong computer skills (word processing, spreadsheets, multitasking systems)
- Excellent written and verbal communication skills
- High School Diploma or GED (required)
Work-from-Home Requirements
- Dedicated, distraction-free workspace (HIPAA-compliant)
- Wired internet connection with:
-
- Minimum 25 Mbps download speed
- Minimum 3 Mbps upload speed
- Ability to remain seated and focused for the duration of the shift
- Must not be the primary caregiver during working hours
Training
- Monday–Friday training for approximately 5 weeks (schedule TBD)
- Full attendance during training is required
Candidate Screening Questions
Please include answers to the following with your application:
- Do you have a separate, distraction-free workspace suitable for remote work?
- Do you have any conflicts with the training schedule or planned time off during the assignment?
- Do you have wired internet that meets minimum speed requirements?
- Are you able to sit and focus without interruptions for the full shift?
Additional Requirements:
- Provide a screenshot of your internet speed (www.speedtest.net)(Need both download and upload)
- Provide a screenshot of your active license/certification
Additional Notes
- Preference for candidates located on the West Coast due to later shift coverage
- This is a high-volume, customer-facing role requiring strong attention to detail and multitasking ability