{"id":1203447,"url":"https://alion.io/job/prime-therapeutics-commercial-sr-technician","title":"Commercial Sr Technician","company":{"id":2088893,"name":"Prime Therapeutics","domain":"primetherapeutics.com","url":"https://alion.io/company/primetherapeutics","size_band":"1001-5000","is_staffing_agency":false,"is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Field & Service","role_family":"Field & Service","seniority":"senior","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"explicit","locations":["Home, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":54000,"max_usd":108000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":1048},"experience_years_min":2,"visa_sponsorship":true,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":false}],"status":"live","first_seen_at":"2026-09-21T00:00:00Z","employer_posted_date":"2026-09-21","last_verified_at":"2026-09-24T22:27:46Z","board_verified":true,"closed_at":null,"days_open":4,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":4},"description":"At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.\nJob Posting Title\nCommercial Sr Technician Job Description\nThe Senior Clinical Operations Technician is responsible for processing, communicating, documenting and tracking complex requests for formulary exceptions, prior authorizations, quantity exceptions and brand override for delegated utilization management (UM) products and services. This role serves as a technical resource related to client specific processes and complex case research.\nResponsibilities\nServe as a point of contact for internal reviewers by providing process guidance, floor support, and assistance with case-specific questions, escalations, and complex scenarios, including peer-to-peer and independent review activities, ensuring alignment with clinical, operational, and plan requirements\nRespond to escalated calls from the Contact Center and providers, coordinating accurate information, external appeal considerations, and appropriate resolutions while ensuring thorough documentation to support correct approvals or denials\nReview clinical criteria to determine approval eligibility; enter and update prior authorizations, approvals, or denials in claims and UM systems, including reopens and edits driven by errors, client requests, or new evidence, to ensure accurate adjudication and documentation\nMonitor and manage assigned inboxes and work queues across multiple functional areas, taking timely action to meet client-specific turnaround requirements, resolve complex cases, and support accurate processing through research, documentation, and collaboration with onshore and offshore teams\nConduct outreach to pharmacies and physician offices across multiple clients to obtain required information for UM requests, including specialty medication support, paper claim follow-up, and occasional member assistance or oral notification of final determinations to members or providers\nProvide complete and relevant clinical information related to UM requests to Pharmacists and Physicians to support clinical decision-making, peer review discussions, and independent review determinations\nOther duties as assigned\nMinimum Qualifications\nHigh school diploma from an accredited school or equivalent GED\n2 year of pharmacy experience or health care delivery experience\nMust be eligible to work in the United States without the need for work visa or residency sponsorship\nAdditional Qualifications\nStrong attention to detail, accuracy, and quality; ability to adapt and work collaboratively in a dynamic fast-paced production environment\nAbility to learn internal systems/processes/programs\nAbility to work a flexible schedule to accommodate business needs including weekend shifts and holidays\nBasic math skills and general PC knowledge including Microsoft Office, Internet, and email\nStrong communication skills with focus on professional demeanor, empathy and problem-solving skills\nAction oriented with ability to act independently to resolve issues\nPreferred Qualifications\nAssociate's degree\nNational Pharmacy Technician Certification through PTCB or ExCPT (CPhT)\n1 year of PBM experience\nPrevious customer service experience\nEvery employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures\nEvery employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.\nPotential pay for this position ranges from $19.23 - $28.85 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the \"Benefits at a glance\" button for more detail (https://www.primetherapeutics.com/benefits).\nPrime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.\nWe welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.\nPrime Therapeutics LLC is a Tobacco-Free Workplace employer.\nPositions will be posted for a minimum of five consecutive workdays.","description_format":"text","description_chars":4965,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[]},"benefits":["Flexible schedule"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Pharmaceuticals"],"lifecycle":[{"event":"open","at":"2026-09-24T22:27:46Z"}],"liveness":{"score":83,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.832,"p_room":1,"age_days":4,"expected_fill_days":31,"reasons":["conf:2","win:early"],"computed_at":"2026-09-25T01:13:28Z"},"pay":null,"html_url":"https://alion.io/job/prime-therapeutics-commercial-sr-technician","json_url":"https://alion.io/job/prime-therapeutics-commercial-sr-technician.json","meta":{"generated_at":"2026-09-25T01:13:28Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","usage":{"tier":"crawler","counted_by":"address","units_charged":1,"used_today":1179,"day_limit":5000,"remaining_today":3821,"minute_limit":60,"resets_at":"2026-09-26T00:00:00Z"}}}