• Job Description

  Req#: JP-005371348

  Job Title: Pharmacy Technician

  Job Description

  We are seeking a dedicated Pharmacy Technician to join our team, responsible for tracking and triaging coverage determination requests for prior authorizations and Medicare Part D recipients. This role involves obtaining verbal authorizations, requesting detailed clinical information from prescribers, approving coverage determination requests, and documenting decisions in the PBM system.

  Responsibilities

  • Track and triage coverage determination requests submitted from providers.
  • Determine if a pharmacist review is required for coverage requests.
  • 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.
  • Notify providers and/or members of decisions regarding coverage determinations.
  • Respond to client inquiries regarding authorization approvals and PBM online applications.
  • Refer coverage determination requests for specialty drugs to delegated vendors or clients.
  • Contact providers for additional information to facilitate coverage determination reviews.
  • Notify physicians, providers, and members of coverage determination request decisions.

  Essential Skills

  • Current state's Pharmacy Technician license.
  • National Certification from the Pharmacy Technician Certification Board (CPhT).
  • 1-2 years of Pharmacy Technician experience in a retail, specialty, or long-term care facility.
  • 1-2 years of prior authorization experience.
  • Strong data entry skills.
  • Proficiency in Microsoft Office.
  • Excellent customer service skills.

  Additional Skills & Qualifications

  • High school diploma or equivalent.
  • Experience in retail, hospital, or mail order pharmacy.

  Work Environment

  This is a remote role with working hours from 10 am to 6:30 pm EST or 11 am to 7:30 pm EST. Our company is a rapidly growing healthcare provider offering opportunities for remote advancement. As part of a comprehensive pharmacy benefit management and drug management provider, you'll be working with a dynamic and supportive team.

  Pay and Benefits

  The pay range for this position is $20.00 - $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 Jun 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.

  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

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