Job Title: Remote Certified Pharmacy Technician

Job Description

We are seeking experienced Pharmacy Technicians to join our team in the EST Timezone. This role involves reviewing Prior Authorizations for coverage determination for a Pharmacy Services department within 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.

Responsibilities

• Track coverage determination requests.
• Obtain verbal authorizations.
• Approve requests based on criteria.
• Enter decisions into the PBM system.
• Notify providers and members of decisions.
• Respond to client inquiries.
• Refer requests for specialty drugs.
• Contact providers for additional information.
• Notify stakeholders of decision outcomes.
• 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 state of operation.
• Strong computer skills.
• Experience with Prior Authorization processes.
• Proficient in Microsoft Office and Outlook.
• Data entry skills.
• Customer service experience.
• Registered Pharmacy Technician.
• Certified Pharmacy Technician (PTCB, NHA).

Additional Skills & Qualifications

• Experience in retail or hospital pharmacy settings.
• Experience with prescription benefits management (PBM).
• Knowledge of Medicare and Medicaid insurance.

Work Environment

This is a remote position requiring a strong Wi-Fi connection and a dedicated office space with a closed door. You will work in a professional environment using multiple screens and systems. The shift requires availability Monday-Friday, 8am-8pm in your time zone, with rotating weekends and some holidays. Training will be conducted from 10am-6:30pm EST. After training, regular shifts will be assigned and communicated three months in advance. Equipment, including a computer, monitor, and headset, will be provided. There is potential for long-term career growth, with opportunities to become a permanent employee and receive benefits and PTO.

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 Apr 30, 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.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people

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 process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.