Job Description
As a Pharmacy Technician supporting the Medicare Part D Prior Authorization (PA) Operations team, you will play a vital role in ensuring timely access to prescription medications for Part D beneficiaries. You’ll serve as a key liaison between prescribers, insurance plans, pharmacies, and patients—managing the administrative and clinical coordination required to process PA requests in accordance with CMS guidelines and Part D formulary requirements.
This is a phone-intensive role, with a focus on handling inbound calls from providers, physicians, and Medicare Part D plan representatives. You’ll clarify PA criteria, follow up on missing documentation, and communicate coverage determinations—all while maintaining compliance with Medicare Part D regulations, including timely processing standards and documentation protocols.
You’ll work across platforms such as MedResponse, MedAccess, FileNet, RightFax, and CoverMyMeds, supporting both in-person and remote workflows. Your contributions will directly impact Part D member access to care, reduce administrative burden on providers, and help maintain pharmacy revenue integrity through accurate and compliant PA processing.
Shift for training: Monday-Friday 8-4:30 PM MST
After training: Between Monday-Sunday 6:00 am-8:00 pm (8 hour shifts, need to be flex on the shift and OK working weekends)
40 hour work week/ 5 days
*Rotating holidays
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
• Active PTCB, CPhT, or state board license
• 0–5+ years of experience as a licensed Pharmacy Technician
• Proficiency in MS Word, Excel, Outlook
• Experience with PA systems (e.g., MedAccess, CoverMyMeds, RightFax)
• Ability to initiate and process PA requests
• Familiarity with formulary guidelines and drug indication verification
• Experience handling inbound/outbound calls with providers and patients
• Ability to communicate PA status and clarify insurance requirements
• Skilled in documenting communications and ensuring HIPAA compliance
• Comfortable working in call center or remote environments
• Able to collaborate with pharmacists and clinical teams
• Capable of supporting high-volume call periods
Nice to Have Skills & Experience
- Previous experience working from home
- Previous experience working for a PBM pharmacy
-Previous experience taking inbound calls
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.