Prior Authorization Pharmacy Technician (Seasonal)

Job Description

Job Description

Who We Are :

SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.

We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values :

• Integrity : Always operate with honesty and transparency so we earn the trust of our clients.
• Courage : Demonstrate the courage needed to take on a broken industry and continuously improve what we offer to optimize health outcomes.
• Together : Foster a collaborative and inclusive environment that values teamwork, respect, and open communication, and encourages creativity and diversity of thought.

Job Summary :

This is a 6 month contract position where you will assist members, providers, pharmacies, and the internal SmithRx teams to navigate complexities of prescriptions to guide timely coverage of clinically appropriate, cost effective medication therapy in accordance with plan benefit design and clinical criteria for coverage. This may involve coordination of clinical review cases, checking coverage and plan rules, verification of submitted information, pharmacy and provider outreach, review of prior authorization requests within established protocols, and assisting to triage and troubleshoot questions and escalations. At SmithRx, we design customized benefit plans for our customers and you are at the forefront of helping navigate and execute drug access.

What will you do :

What will you bring to SmithRx :