St. Luke's Health System

At St Luke's Health Plan our dedicated team strives to build a positive, supportive, and inclusive culture that delivers exceptional member experiences.

The Utilization Management Pharmacy Technician is responsible for resolving complex and high-impact benefit issues involving prior authorizations, step therapy, appeals, and denied claims. This role requires deep knowledge of pharmacy benefit design, high-cost medications, and payer policies. The Utilization Management Pharmacy Technician works with the clinical pharmacist to support both members and providers by navigating challenging benefit issues and serves as a trusted internal resource for technical and policy-related guidance. This position works collaboratively across multiple teams within the health plan and system and supports all lines of business, including government-funded programs.

What You Can Expect:

• Schedule: Monday-Friday business hours, hybrid position
• Make a meaningful impact on member care by using your pharmacy expertise to evaluate prior authorizations, resolve medication access challenges, and support appeals that help members receive the medications they need.
• Grow your clinical and operational knowledge while partnering with pharmacists and cross-functional teams on formulary updates, regulatory compliance, and pharmacy benefit decisions that shape member care.
• Expand your skills and influence by serving as a trusted resource for pharmacy operations, contributing to training and process improvements, and participating in projects that enhance workflows and the member experience.
• Be part of a collaborative, fast-paced team where you'll help maintain service excellence by supporting help desk operations, managing priority work, and ensuring timely, high-quality responses across the department.

Qualifications:

• Education: HS Diploma/GED
• Experience: Three (3) years' relevant experience
• Licenses/Certifications: Valid Idaho Pharmacy Technician license

At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.