Job Overview
Role: New Hampshire Licensed Pharmacy Technician - Prior Authorizations. Department: Patient Support Center - New England West. Location: Remote.
Key Responsibilities:
- Facilitate medication approvals by communicating directly with insurance companies and healthcare providers regarding prior authorizations.
- Navigate pharmacy operating systems to enter data, adjudicate claims, process refills, and develop follow-up action plans.
- Document patient concerns, prior authorization status, and financial assistance needs within databases, electronic medical records, and email systems.
- Review prescriptions with physicians' offices to support optimal patient care.
- Maintain accurate and complete records of patient interactions and communications.
- Assist patients with pharmacy insurance claims and medication access challenges.
- Collaborate with pharmacists, pharmacy liaisons, and cross-functional teams to deliver a high-quality patient experience.
- Provide phone support to patients while promoting medication adherence and compliance.
- Research and analyze information to support operational and strategic decision-making.
- Manage, organize, and maintain data within pharmacy and database systems.
- Identify trends, resolve issues, recommend improvements, and participate in process improvement initiatives.
- Serve as a trusted partner to stakeholders across the organization.
- Protect patient and organizational information through strict confidentiality practices.
- Maintain professional knowledge through continuing education and professional development opportunities.
- Minimal in-state or out-of-state travel may be required.
- Perform other duties as assigned.
Eligibility / Qualification Required:
We are seeking experienced pharmacy technicians with appropriate state registration and licensure.
Important: This position requires an active New Hampshire Pharmacy Technician License at the time of hire.
Candidates residing in states that do not require pharmacy technician registration (such as Delaware, Hawaii, or New York) must obtain applicable state licensure within six months of employment and must possess **PTCB or NHA certification at the time of hire.
For all other candidates, PTCB or NHA certification is strongly preferred. If not already certified, certification must be obtained within nine months of employment. Additional licensure requirements, if applicable, must be completed within an agreed-upon timeframe. Continued employment is contingent upon meeting all licensing and certification requirements.
How to Apply:
Apply online through the official Shields Health Solutions Greenhouse job page.
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