Remote Pharmacy Technician
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Job Description
We are seeking dedicated Pharmacy Technicians to join our team. In this role, you will review Prior Authorizations for coverage determination within a Pharmacy Services department, which is part of a large healthcare insurance company. You will be responsible for approving or denying requests and sending them to Pharmacists for final review. This position involves minimal phone work, primarily outbound calls, and handling all health plans and types of medications.
Responsibilities
- Track coverage determination requests.
- Obtain verbal authorizations and request detailed clinical information from prescribers.
- Approve requests based on criteria and enter decisions into the PBM system.
- Notify providers and members of decision outcomes.
- Respond to client inquiries and refer requests for specialty drugs.
- Contact providers for additional information when necessary.
- Assist with inbound and/or outbound patient or physician calls if needed.
Essential Skills
- High School diploma or GED.
- Current Pharmacy Registration and Certification as required by the state of operation.
- Basic computer skills.
- Proficiency in Microsoft Office and Outlook.
- Strong data entry and customer service skills.
- Experience with prior authorization processes.
- Knowledge of Medicare, Medicaid, and insurance health plans.
- Registered and certified Pharmacy Technician (PTCB, NHA).
Additional Skills & Qualifications
- Experience in retail pharmacy, hospital pharmacy, or specialty pharmacy.
- Call center experience.
- Experience with Prescription Benefits Management (PBM) systems.
Work Environment
This is a professional remote environment. You will work with multiple screens and within multiple systems. A strong WiFi connection and a dedicated office space with a closed door are required. 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 May 18, 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 [email protected] (%[email protected]) for other accommodation options. Apply Job!