Providing customer service support for inbound and outbound pharmacy calls, the full-time State Licensed Pharmacy Technician will handle prior authorization requests, explain claims adjudication, and assist with day-to-day pharmacy operations while ensuring compliance with regulatory standards. Key responsibilities Manage inbound and outbound pharmacy calls from members, providers, and pharmacies, adhering to departmental policies and regulations Coordinate and process pharmacy prior authorization requests and appeals, ensuring accurate record-keeping Effectively communicate plan benefit information and assist with initiating coverage determinations and appeals Required qualifications At least 1 year of related experience, including call center or customer service experience Certified Pharmacy Technician (CPhT) and/or active state pharmacy technician license Proficiency in Microsoft Office Suite, including Excel Ability to work independently and manage multiple projects effectively Excellent customer service skills and phone etiquette