Pharmacy Technician – Coverage Determination Analyst
Birmingham, AL - Onsite
Job ID: 36643
Posted: 2025-09-03
Employment Type: Contract
Pay Rate: $ 18 Hour
Join our client’s clinical operations team as a Coverage Determination Analyst and play a vital role in ensuring patients get timely access to the medications they need. In this fast-paced, detail-oriented role, you’ll support the prior authorization process by coordinating with physicians, gathering information, and preparing cases for review. Your contributions directly impact patient care and make a meaningful difference every day.
Benefits & Extras
* Home-based role with equipment provided
* Collaborative team culture where your accuracy and focus make a difference
* Gain valuable PBM and healthcare operations experience
* Monday–Friday schedule with consistent 8-hour shifts
Compensation: $18/hour, 3+ month contract
What You’ll Be Doing:
* Perform data entry of patient, prescriber, pharmacy, and prior authorization information
* Review PA requests for completeness and request missing details from physician offices
* Communicate with doctors’ offices by phone and fax to gather information
* Finalize requests in PA software and enter overrides into PBM claim systems
* Identify issues in the PA process and escalate to management when necessary
* Uphold patient rights, confidentiality, and privacy standards
* Collaborate across clinical, member services, and account management teams
What You’ll Need to Be Considered:
* Pharmacy Technician background (retail, hospital, or PBM call center)
* Prior Authorization knowledge
* Proven high-volume data entry skills with accuracy
* Comfortable working in a fast-paced, computer-based environment
* Familiarity with PBM systems and Microsoft Office Suite
Apply Now!
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