Travel Pharmacy Technician
Portland, OR
MedCadre
5x8 hrs, Days
Referral Bonus

Job Title: Pharmacy Technician – Outpatient (Managed Care)

Location: Portland 97213
Schedule: Day Shift (08:00 AM – 05:00 PM), 5x8 hours
Duration: 26 Weeks with possible extension
 

Job Summary

We are seeking an experienced Pharmacy Technician – Outpatient to support managed care pharmacy operations within a health plan environment. This role focuses on prior authorizations, pharmacy benefit administration, claims support, and member/provider communication. The ideal candidate will have strong analytical skills, advanced Excel proficiency, and experience working in pharmacy benefit management or managed care settings.

Key Responsibilities

• Process and coordinate pharmacy prior authorizations based on established clinical and benefit guidelines
• Handle inbound calls from members, providers, pharmacies, and internal departments
• Review pharmacy claims, eligibility, and benefit information for accuracy and completeness
• Route complex clinical cases to pharmacists or clinical reviewers as appropriate
• Perform medical coding support including ICD-10 and CPT coding as needed
• Maintain accurate documentation in pharmacy systems and databases
• Support pharmacy benefit administration, utilization management, and claims workflows
• Communicate with providers and pharmacies regarding medication and authorization issues
• Assist in audits, reporting, and data analysis for pharmacy operations
• Ensure compliance with HIPAA, federal, and state pharmacy regulations
• Provide excellent customer service and support resolution of pharmacy-related issues

Required Skills

• Advanced Microsoft Excel skills (mandatory)
• Strong knowledge of pharmacy benefit management and managed care processes
• Excellent verbal and written communication skills
• Strong analytical and problem-solving abilities
• Ability to multitask and manage high-volume workloads
• Attention to detail and accuracy in data entry and documentation
• Proficiency with pharmacy or healthcare claims systems
• Understanding of medical terminology and drug utilization processes

Qualifications

• Active Pharmacy Technician license (state of Oregon or eligibility required)
• Minimum 1–2 years of pharmacy technician experience in a managed care or outpatient setting
• Experience with prior authorization, claims processing, or pharmacy benefits preferred
• Familiarity with ICD-10 and CPT coding strongly preferred
• Experience in a health plan, PBM, or insurance environment is highly desirable
• Ability to work independently in a fast-paced, regulated environment

Additional Requirements

• Must be able to handle member-facing and provider-facing communications professionally
• Strong organizational and documentation skills required
• Ability to follow strict compliance, privacy, and regulatory standards
• Must be comfortable working in a structured workflow environment with deadlines