Pharmacy Technician – Outpatient Managed Care PTOMC26-07202

Location: Portland OR
Duration: 26 Weeks
Schedule: Day Shift Standard Business Hours
On-Call: 23 weekends per year

Navitas Healthcare LLC is seeking an experienced Pharmacy Technician to support pharmacy operations pharmacy benefit administration prior authorizations claims processing and member services within a managed care environment. This role requires strong pharmacy benefit knowledge prior authorization experience advanced Excel skills and the ability to work independently in a fast-paced healthcare setting.

• Process and coordinate pharmacy prior authorizations
• Review medication utilization criteria and pharmacy benefit requirements
• Support pharmacy claims processing and reimbursement activities
• Research and resolve pended claims and authorization issues
• Communicate with providers pharmacies members and healthcare teams
• Maintain pharmacy databases and eligibility records
• Analyze pharmacy data and generate reports using Advanced Excel
• Support coding and documentation review using ICD-10 CPT HCPCS
• Audit pharmacy claims and records for quality and compliance
• Train providers and staff on pharmacy workflows and systems
• Assist with quality improvement initiatives and workflow optimization
• Maintain HIPAA and regulatory compliance standards

• Active Oregon Pharmacy Technician License Required
• Advanced Microsoft Excel Skills Required
• Minimum 2 Years of Pharmacy Technician Experience in Managed Care Environment OR Bachelors Degree
• Prior Authorization Experience Required
• Pharmacy Benefit Management (PBM) or Health Plan Experience Required
• Claims Processing Experience Preferred
• Knowledge of ICD-10 CPT HCPCS Coding
• Strong Analytical and Problem-Solving Skills
• Excellent Customer Service and Communication Skills

For more details reach at

About Navitas Healthcare LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.