Job Title: Pharmacy Technician
Job Description
We are seeking dedicated pharmacy technicians to join a dynamic team in the EST timezone. Technicians will be responsible for reviewing Prior Authorizations for coverage determination as part of a Pharmacy Services department within a large healthcare insurance company. The role involves approving or denying requests, which are then sent to a Pharmacist for final review. This position involves handling various health plans and medication types, with minimal phone work primarily involving outbound calls.
Responsibilities
- Track coverage determination requests and obtain verbal authorizations.
- Approve requests based on established criteria and enter decisions into the PBM system.
- Notify providers and members of approval or denial outcomes.
- Respond to client inquiries and refer requests for specialty drugs.
- Contact providers for additional information and notify stakeholders of decision outcomes.
- Request detailed clinical information from prescribers.
- Assist with inbound and/or outbound patient or physician calls, if necessary.
Essential Skills
- High School diploma or equivalent.
- Current Pharmacy Registration and Certification as required by state of operation.
- Basic computer skills.
- Strong proficiency in Microsoft Office and Outlook.
- Pharmacy technician license.
- Certified Pharmacy Technician (CPhT).
Additional Skills & Qualifications
- National certification such as PTCB or NHA.
- Experience with prior authorization processes.
- Experience in retail pharmacy, call center, hospital, or specialty pharmacy settings.
- Familiarity with Medicare and Medicaid prescription benefits.
Work Environment
This is a professional remote work environment requiring strong WiFi and a private office space with a closed door. You will be working on multiple screens and systems. The schedule requires availability Monday through Friday, 8 am to 8 pm in your local timezone, with rotating weekends every 4-6 weeks and some holidays. Training is from 10 am to 6:30 pm EST, followed by a regular shift. Schedules are provided three months in advance. The company offers flexibility for those who meet metrics and have tenure. Equipment provided includes a computer, monitor, and headset.
Pay and Benefits
The pay range for this position is $18.00 - $20.00/hr.
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)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Aug 1, 2025.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
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.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
