Customer Care Pharmacy Technician (Healthcare)

TL;DR

Customer Care Pharmacy Technician (Healthcare): Managing incoming member calls and prior authorization inquiries for a health technology platform with an accent on clinical intake and customer satisfaction. Focus on triaging pharmacy requests, ensuring HIPAA compliance, and resolving complex benefit issues.

Location: Remote (Continental US, priority given to candidates in Hawaii)

Salary: $28 per hour

Company

hirify.global is an enterprise health technology company providing pharmacy benefit management and health platform solutions to employers and health plans.

What you will do

• Act as the primary point of contact for member calls and prior authorization inquiries.
• Intake clinical requests from prescribers and members using client-specific clinical questions.
• Advise callers on exception requests for formularies, copays, and early refills.
• Triage incoming calls from members, prescribers, and pharmacies with professional etiquette.
• Collaborate with internal stakeholders to ensure resolution of health and safety standards.
• Review pharmacy claims to support the Fraud, Waste, and Abuse program.

Requirements

• Current National Certification as a Pharmacy Technician (CPhT) and a valid license.
• 2+ years of experience in a clinical pharmacy setting, PBM, or Health Plan.
• 2+ years of customer service experience with strong communication skills.
• High school diploma or equivalent (Associate or Bachelor's degree preferred).
• Secure, high-speed broadband internet connection (1 Gig plan required).
• Ability to work any assigned shift.

Nice to have

• Bilingual Spanish proficiency.
• Experience with Medicare.
• Adaptability to startup or high-growth environments.

Culture & Benefits

• Remote work flexibility within the US.
• Commitment to diversity, equity, and inclusion.
• Focus on improving patient outcomes and rebuilding trust in healthcare.