Job Description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

Prior Authorization Pharmacy Technician - Licensed Pharmacy Tech -Work from Home

Sagilityisseeking a Prior Authorization Licensed Pharmacy Technicianto join our team in a fully remote capacity. This role offers the opportunity to work in a fast-paced, collaborative environment supporting critical pharmacy operations and patient access to medications.

In this position, you will review, research, and process prior authorization requests to ensure accuracy, compliance, andtimelyoutcomes. The ideal candidate brings strong attention to detail, critical thinking skills, and the ability to communicate effectively with healthcare providers and internal teams.

Note:Candidates must hold an active, unrestricted Pharmacy Technician license in the state of Arizona.

Responsibilities:

• Process prescription prior authorization requestssubmittedby healthcare providers with accuracy and efficiency

• Review and research complex and compound prescriptions to supportappropriate coveragedecisions

• Conduct outbound outreach to providers to obtainadditionalor clarifying information as needed

• Partner with pharmacists by providing prior authorization recommendations based on benefit plan design and coverage guidelines

• Coordinate and process specialty medication reviews across both pharmacy and medical benefits

• Maintain up-to-date knowledge of pharmacy and medical claims processing systems and requirements

Qualifications

• Active, unrestricted Pharmacy Technician license in Arizona (AZ)

• Previousexperience as a Pharmacy Technician, preferably in prior authorization, managed care, or specialty pharmacy

• Demonstrated experience with prior authorization processes, including specialty medications, precertification, and retrospective reviews

• Strong analytical and problem-solving skills with the ability to interpret clinical and benefit information

• Excellent communication skills with a focus on professionalism and customer service

• Ability to work independently in a remote environment while managing productivity and quality expectations

Prior Authorization Pharmacy Technician- UnlicensedPharmacy Tech

 Sagilityis seeking a Prior AuthorizationUnlicensed Pharmacy Technicianto joinourdynamic, connected culture! Our motivated, Prior AuthorizationUnlicensed Pharmacy Technician will assist our members with calls regarding non-formulary medications, prior authorizations, and up-tier medication requests 

Responsibilities:   

• 1 year of experience in a pharmacy or medical field (e.g., pharmacy, health insurance, medical office)

• Education

• High School Diploma or GEDrequired

Licenses

• Must obtain andmaintainan Arizona State Board Pharmacy Technician License within 9 months of hire

Certifications

• Must obtain andmaintainPharmacy Technician Certification Board (PTCB) Certification within 9 months of hire

Qualifications:   

• 1 year of experience in a pharmacy or medical field (e.g., pharmacy, health insurance, medical office)

• High School Diploma or GEDrequired

• Must obtain andmaintainan Arizona State Board Pharmacy Technician License within 9 months of hire

• Must obtain andmaintainPharmacy Technician Certification Board (PTCB) Certification within 9 months of hire

Preferred Qualifications

• 3 years of experience with Pharmacy Benefit Management (PBM) or prescription claims administration

• 1 year of Prior Authorization experience

• 2 years of experience handling confidential information

Required Job Skills

• Intermediate PCproficiencywith word processing, spreadsheets, and claims/imaging systems

• Required Professional Competencies

• Ability toestablishand maintain collaborative working relationships

• Strong organizational skills with the ability to prioritize workflow

• Ability to compose clear and professional business correspondence

Required Leadership Competencies

• Ability to use available information to prioritize tasks and support team objectives

• Preferred Job Skills

• Advanced PCproficiencywith word processing, spreadsheets, and claims/imaging systems

Preferred Professional Competencies

• Strong interpersonal communication skills

• Multicultural awareness and sensitivity

• Experience with pharmacy vendor claim systems

What to Expect:

• On-camera participation during interviews, training, team meetings, and regular check-ins.
• Face-to-face discussions sparking collaboration and engagement
• A supportive atmosphere where you can express yourself openly and be part of a team that values your contributions.

Benefits:

• Medical, Dental, and Vision coverage.
• Life Insurance.
• Short-Term and Long-Term Disability options.
• Flexible Spending Account (FSA).
• Employee Assistance Program.
• 401(k) with employer contribution.
• Paid Time Off (PTO).
• Tuition Reimbursement.

Sagility is an Equal Opportunity Employer/Veteran/Disability.

Alert: Please beware of fraudulent communications from profiles impersonating Sagility or its employees. All official communication from Sagility will come from our verified email domains: “@sagility.com” or “@sagilityhealth.com”. Sagility will never ask for payments for job offers, interviews, or otherwise. Do not respond to suspicious communications, whether via email, WhatsApp, or any social platform. For any concerns, contact us directly through our official website.

Location:

Work@Home NationWideUnited States of America