Prior Authorization Systems Technician

requirements Proactively obtain and organize clinical documentation to ensure completeness and readiness for pharmacist or clinician review Collaborate cross-functionally with Clinical, Operations, IT, and Business teams to support system improvements, process optimization, and implementation initiatives Identify opportunities for workflow efficiency, automation, and data quality improvement within the PA process Adapt quickly to shifting priorities and support multiple concurrent initiatives in a fast-paced environment Required

Qualifications: 4+ years of pharmacy technician experience in a PBM, health plan, or clinical pharmacy environment Demonstrated experience working with prior authorization systems, UM criteria, or clinical rule configuration National Certified Pharmacy Technician (CPhT) certification required Strong understanding of prior authorization workflows, clinical guidelines, and formulary management Experience supporting system testing (UAT, regression, or configuration validation) preferred High attention to detail with a focus on data accuracy and configuration quality Ability to troubleshoot system or workflow issues and communicate clearly with technical and non-technical stakeholders Proficiency in Microsoft Excel and Word; ability to work with structured data and perform basic analysis (e.g., validation, comparisons, tracking updates) Experience working cross-functionally with clinical, operational, and/or IT teams preferred Bachelor’s degree or equivalent combination of education and experience preferred This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, and skills, and location of the job. Nothing in this position description restricts management’s right to assign or reassign duties and

responsibilities to this job at any time.

Benefits Judi Health provides all full-time and part-time benefit-eligible employees with the ability to elect medical and pharmacy coverage, dental insurance, vision insurance, accidental injury insurance, critical illness insurance, hospital indemnity insurance, and flexible spending accounts. Full-time employees also have access to a health savings account, voluntary life insurance, and voluntary accidental death and dismemberment insurance for themselves and their eligible dependents. Judi Health provides full-time employees with the following

benefits at no cost to the employee: basic life insurance, basic accidental death and dismemberment insurance, paid time off, sick time, holidays, short-term disability, long-term disability, an employee assistance program, and a wellness program. Full-time employees are also eligible for a 401(k) plan with company match after one year of full-time employment. About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi®, the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. New York, NY Salary Range $75,000 — $80,000 USD Denver, CO Salary Range $75,000 — $80,000 USD Charlotte, NC Salary Range $75,000 — $80,000 USD All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and

responsibilities as needed to best meet organizational goals. We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy .

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