Talentify
Pharmacy Technician Remote 100%
5 days agoWhat's your preference?
Job Description
- Req#: JP-005358705
- Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required.
- Obtain verbal authorizations and request detailed clinical information from prescribers.
- Approve coverage determination requests based on defined criteria.
- Enter and document coverage determination request decisions into the PBM system and notify providers and/or members.
- Respond to client inquiries regarding authorization approvals and PBM online applications.
- Refer coverage determination requests for specialty drugs to delegated vendor or client for processing.
- Contact providers for additional information to facilitate coverage determination reviews.
- Notify physicians, providers, and members of coverage determination request decisions.
- High school diploma or equivalent.
- 1+ years of experience in retail, hospital, or mail order pharmacy.
- Current state Pharmacy Technician license.
- National Certification from Pharmacy Technician Certification Board (CPhT) preferred.
- Experience with pharmacy benefits system (PBS system) is a huge plus.
- Knowledge of prior authorization and Medicare processes.
Job Title: Pharmacy Technician 100% Remote If you are interested in please reach out to me at 913 363 9258
Job Description
As a Pharmacy Technician, you will play a crucial role in tracking and triaging coverage determination requests for prior authorizations and Medicare Part D recipients. Your primary purpose in this position is to ensure efficient processing and accurate documentation within the pharmacy benefits system.
Responsibilities
Essential Skills
Additional Skills & Qualifications
Work Environment
The work environment is dynamic and requires interaction with healthcare providers and members. You will utilize pharmacy benefits management systems and collaborate with various stakeholders to achieve efficient and accurate coverage determinations.
Pay and Benefits
The pay range for this position is $18.00 - $19.00/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 Jun 27, 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.
About the company
Notice
Talentify is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Talentify provides reasonable accommodations to qualified applicants with disabilities, including disabled veterans. Request assistance at accessibility@talentify.io or 407-000-0000.
Federal law requires every new hire to complete Form I-9 and present proof of identity and U.S. work eligibility.
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