Customer Care Pharmacy Technician (Full-Time)

📋 Description

• • The Customer Care Pharmacy Technician serves as the primary point of contact for member calls, prior authorization inquiries, and escalations to the Clinical Prior Authorization Team, playing a critical role in ensuring timely and accurate pharmacy benefit support for members, prescribers, and pharmacies.
• • Day-to-day responsibilities include actively intake prior authorization requests by asking clinical questions, advising callers on exception options (formulary, copay, early refill), triaging calls with professional phone etiquette, supporting Customer Service Representatives, communicating resolutions to stakeholders, ensuring HIPAA compliance, assisting with onboarding new staff, reviewing pharmacy claims for fraud/waste/abuse, and multitasking across systems using up to two monitors in a fast-paced remote environment.
• • Capital Rx, part of Judi Health, is an enterprise health technology company delivering full-service pharmacy benefit management (PBM) solutions through its public benefit corporation model, focused on rebuilding trust in healthcare by providing scalable, secure platforms like Judi® Enterprise Health Platform to employers, TPAs, and health plans across the U.S.
• • In this role, the individual will develop expertise in prior authorization processes, healthcare compliance, customer advocacy in a high-volume call center, and remote collaboration — gaining experience in a mission-driven organization that values performance metrics, continuous learning, and contributions to improving patient outcomes through exceptional service.