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Posted Jun 8, 2026

Senior Pharmacy Prior Authorization Representative

Job Description: • Support a designated group of clinics and manage prior authorizations using internal and external pharmacy and clinic systems • Enter prescriptions, adjudicate claims, resolve rejections, and process orders accurately • Use clinic-specific EMR systems to gather information needed for prior authorizations • Handle benefit checks, prior authorization submissions, follow-ups, and appeals • Research and respond to benefit and processing questions from internal sales, patients, and providers • Maintain compliance with contract requirements and company practices • Manage multiple tasks while maintaining strong attention to detail and communication • Participate in customer meetings, training sessions, and other program-related projects Requirements: • High school diploma or GED required • 2+ years of Pharmacy Technician experience • National Pharmacy Technician certification required • Active pharmacy technician license in AZ • Strong Microsoft Office, data entry, math, and communication skills • High attention to detail with the ability to multitask across phone and computer-based work • Experience with CoverMyMeds or similar electronic prior authorization tools preferred • Experience with appeals, denials, EMR systems, or infertility care is a plus • Strong teamwork, ownership, and time management skills Benefits: • medical • vision • dental • well-being and behavioral health programs • 401(k) • company paid life insurance • tuition reimbursement • a minimum of 18 days of paid time off per year • paid holidays