Senior Pharmacy Technician - Certified
MaineHealth Accountable Care Organization, Westbrook, ME, United States
Pharmacy Prior Authorization Technician - Diabetes and Endocrinology
Location: Westbrook, ME
Facility: Maine Medical Center
Schedule: Full Time
Shift: Day
Job Category: Professional - Clinical
Req #: 68440
Date Posted: Apr 27, 2026
Key Responsibilities
Review medication orders (especially specialty medications) needing prior authorization.
Initiate and complete prior authorization requests through electronic portals (e.g., CoverMyMeds, Surescripts, payer websites).
Communicate with insurance companies to gather coverage requirements and status updates.
Collaborate with providers and pharmacists to obtain necessary clinical documentation for PA submissions.
Document PA status, approvals, denials, and follow-ups within Epic using SmartPhrases and encounters.
Notify providers of PA outcomes and assist with alternative medication strategies when necessary.
Track and manage open prior authorizations to ensure timely resolution and refill coordination.
Support clinic staff and patients by providing status updates or coverage information as allowed.
Maintain up-to-date knowledge of payer formulary changes and authorization requirements.
Participate in continuous quality improvement and workflow optimization efforts.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education: High school diploma or equivalent required.
License/Certifications: Current or eligible for applicable state(s) license as a Pharmacy Technician. CPhT certification is required.
Experience: One year of experience as a licensed pharmacy technician.
Benefits
We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow – programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.
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Location: Westbrook, ME
Facility: Maine Medical Center
Schedule: Full Time
Shift: Day
Job Category: Professional - Clinical
Req #: 68440
Date Posted: Apr 27, 2026
Key Responsibilities
Review medication orders (especially specialty medications) needing prior authorization.
Initiate and complete prior authorization requests through electronic portals (e.g., CoverMyMeds, Surescripts, payer websites).
Communicate with insurance companies to gather coverage requirements and status updates.
Collaborate with providers and pharmacists to obtain necessary clinical documentation for PA submissions.
Document PA status, approvals, denials, and follow-ups within Epic using SmartPhrases and encounters.
Notify providers of PA outcomes and assist with alternative medication strategies when necessary.
Track and manage open prior authorizations to ensure timely resolution and refill coordination.
Support clinic staff and patients by providing status updates or coverage information as allowed.
Maintain up-to-date knowledge of payer formulary changes and authorization requirements.
Participate in continuous quality improvement and workflow optimization efforts.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education: High school diploma or equivalent required.
License/Certifications: Current or eligible for applicable state(s) license as a Pharmacy Technician. CPhT certification is required.
Experience: One year of experience as a licensed pharmacy technician.
Benefits
We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow – programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.
#J-18808-Ljbffr