What are the responsibilities and job description for the Pharmacy Benefits Specialist (Authorization Specialist) position at TEKsystems?
The Pharmacy Technician Specialist will be working in an office setting assisting with scheduling, answering phone calls, processing referrals, working through authorization and billing issues, and reconciling medication history. This position is ideal for someone who enjoys customer service, comfortable on the phone and prefers working in an office setting and has some prior knowledge of pharmacy and medical insurance processing.
Description
Coordinate with insurance companies, pharmacy benefit managers (PBMs), and specialty pharmacies to resolve coverage issues
Initiate, submit, and track pharmacy prior authorizations for prescription medications
Monitor authorization status and follow up proactively to avoid treatment delays
Document authorization outcomes, approvals, denials, and appeals in the electronic medical record (EMR) system
Assist with appeal submissions by gathering clinical support and completing required payer forms
Educate patients on authorization status, coverage limitations, copay assistance programs, and next steps
Maintain up-to-date knowledge of payer policies, formularies, and authorization requirements
Skills
medical terminology, healthcare, prior authorization, pharmacy specialist, medication authorizations, insurance authorization, Insurance, patient access, patient registration, medical, health care, epic
Top Skills Details
medical terminology, healthcare, prior authorization, Pharmacy Specialist, medication authorizations, insurance authorization, insurance
Additional Skills & Qualifications
Knowledge of Medicare, Medicaid, and commercial pharmacy plans
Prior experience with medication appeals
High school diploma
Experience Level
Intermediate Level
Job Type & Location
This is a Contract position based out of San Diego, CA.
Pay And Benefits
The pay range for this position is $27.00 - $35.00/hr.
Requirements
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
This is a hybrid position in San Diego,CA.
Application Deadline
This position is anticipated to close on Apr 22, 2026.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems And TEKsystems Global Services
We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Description
Coordinate with insurance companies, pharmacy benefit managers (PBMs), and specialty pharmacies to resolve coverage issues
Initiate, submit, and track pharmacy prior authorizations for prescription medications
Monitor authorization status and follow up proactively to avoid treatment delays
Document authorization outcomes, approvals, denials, and appeals in the electronic medical record (EMR) system
Assist with appeal submissions by gathering clinical support and completing required payer forms
Educate patients on authorization status, coverage limitations, copay assistance programs, and next steps
Maintain up-to-date knowledge of payer policies, formularies, and authorization requirements
Skills
medical terminology, healthcare, prior authorization, pharmacy specialist, medication authorizations, insurance authorization, Insurance, patient access, patient registration, medical, health care, epic
Top Skills Details
medical terminology, healthcare, prior authorization, Pharmacy Specialist, medication authorizations, insurance authorization, insurance
Additional Skills & Qualifications
Knowledge of Medicare, Medicaid, and commercial pharmacy plans
Prior experience with medication appeals
High school diploma
Experience Level
Intermediate Level
Job Type & Location
This is a Contract position based out of San Diego, CA.
Pay And Benefits
The pay range for this position is $27.00 - $35.00/hr.
Requirements
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
This is a hybrid position in San Diego,CA.
Application Deadline
This position is anticipated to close on Apr 22, 2026.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems And TEKsystems Global Services
We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Salary : $27 - $35