**Details** + **Department:** Pharmacy Admin Support + **Schedule:** Monday - Friday, 8 am - 5:00 pm CST + **Location:** Remote **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer._ **Responsibilities** The remote Pharmacy Technician, Medical Specialty Prior Authorization will coordinate tracking, review, escalation, approval, and documentation of prior authorization determination requests. This role will communicate decisions to physicians, providers and plan members through high volume phone calls. + Track and triage all coverage determination requests for prior authorizations, recipients and provider submissions. Determine if a pharmacist review is required. + Obtain verbal and written authorizations and request detailed clinical information from prescribers. Approve coverage determination requests based on defined criteria. + Enter and document coverage determination request decisions into the prior authorization application and notifies providers and/or plan members. + Respond to client inquiries regarding authorization determination. Notify physicians, providers and plan members of coverage determination request decisions. + Communicate with providers and members by phone. **Requirements** Licensure / Certification / Registration: Required Credential(s): One or more of the following: + Coder credentialed from the National Healthcareer Association obtained within 12 Months (1 year) of hire date or job transfer date. + Prior Auth Cert Specialist credentialed from the National Board of Prior Authorization Specialists obtained within 12 Months (1 year) of hire date or job transfer date. + Pharmacy Tech credentialed from the National Healthcareer Association obtained within 12 Months (1 year) of hire date or job transfer date. + Pharmacy Tech credentialed from the Pharmacy Technician Certification Board (PTCB) obtained within 12 Months (1 year) of hire date or job transfer date. Education: + High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Technical degree OR 4 years of applicable cumulative job specific experience required **Additional Preferences** + 2+ years Pharmacy Technician experience with Prior Authorizations for Health Plans or PBM. + Background working with specialty medications. + Current Pharmacy Technician licensure/registration in state of residence. + Strong technology skills with ability to navigate multiple systems in a remote team environment. + High level of detail-oriented and organization skills. + Excellent customer service phone skills **Why Join Our Team** Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you. **Equal Employment Opportunity Employer** Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRights\_10\_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRightsSp\_10\_20.pdf) poster. As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension. Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp\_%20English\_formattedESQA508c.pdf) Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants. **E-Verify Statement** This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify\_Participation\_Poster\_ES.pdf)