Pharmacy Tech

National Healthcare company is hiring a Remote Pharmacy Tech.

We are seeking a detail-oriented and proactive Certified Pharmacy Technician (CPhT) with specialized experience in Rx Prior Authorizations to join our team. In this role, you will serve as a central liaison within our Clinical Hub, actively connecting pharmacists, facility staff, physicians, and Prescription Drug Plans (PDPs).

You will manage the end-to-end prior authorization process, investigate claim and payment denials, compile clinical justifications, and navigate EMAR systems to ensure efficient, high-quality care for our customers.

Key Responsibilities

Prior Authorization Processing: Initiate, accurately complete, and manage Prior Authorization (PA) requests from submission through resolution with a high level of attention to detail.

Multi-Stakeholder Communication: Act as a key point of contact within the Clinical Hub, proactively liaising with pharmacists, long-term care or clinical facilities, prescribing physicians, and PDPs regarding PA statuses and Therapeutic Interchanges.

Denial Investigation & Resolution: Call insurance plans directly to investigate root causes of payment denials, clearly communicate denial reasons back to facility teams, and outline necessary next steps.

Clinical Documentation: Gather, update, and document clinical justifications required by insurance payers to support PA approvals and appeals.

Systems Utilization: Maintain and update patient and facility records using Electronic Medication Administration Record (EMAR) systems and internal pharmacy technology.

Qualifications & Requirements

Credentials: Active Pharmacy Technician Certification (CPhT required).

Experience: Hands-on experience initiating, tracking, and resolving prescription Prior Authorizations (PAs) and payment denials.

System Knowledge: Familiarity with EMAR systems and pharmacy management software.

Industry Familiarity: Strong understanding of Prescription Drug Plans (PDPs), therapeutic interchanges, and medical/pharmacy claims workflows.

Required Skills & Competencies

Detail-Oriented: Meticulous approach to completing complex PA forms and reviewing clinical data accurately.

Communication: Clear, professional verbal and written communication skills for extensive phone work with payers, facilities, and providers.

Problem-Solving: Strong analytical ability to troubleshoot claim denials and pursue clinical resolutions.

Time Management: Capability to prioritize urgent medication requests effectively during the 11:00 AM - 7:30 PM CST shift.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].


Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).


This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.