• Job Description

  Req#: JP-005367626

  Remote Pharmacy Technician

  Job Description

  As a Pharmacy Technician, you will review Prior Authorizations for a Pharmacy Services department within a large healthcare insurance company. Your role involves making determinations to approve or deny these authorizations, which are then sent to a Pharmacist for final review. You will handle all health plans and types of medications, ensuring efficient processing and resolution.

  Responsibilities

  • Process prescription exceptions, including resolving claim rejects and conducting member and physician outreach.
  • Enter member demographics and prescription information into the data processing system.
  • Research and resolve rejected insurance billing issues and/or escalated member issues.
  • Escalate prescription-related questions to a Pharmacist for interpretation or processing direction.
  • Assist with inbound and/or outbound patient or physician calls.

  Essential Skills

  • High School diploma or GED.
  • Current Pharmacy Registration and Certification as required by state.
  • Basic computer skills.
  • Strong computer skills and call center experience.
  • Nationally Certified Technician and registered pharmacy technician in the state of residence.

  Additional Skills & Qualifications

  • Bilingual skills preferred.
  • Experience in PBM, Hospital, or Specialty Pharmacy settings.
  • Knowledge of prescription benefits.

  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, utilizing multiple screens and systems. Equipment such as a computer, monitor, and headset will be provided. The position requires availability Monday to Friday from 8 am to 8 pm in your time zone, with rotating weekend shifts every 4-6 weeks and potential holiday shifts. Training will be conducted from 10 am to 6:30 pm EST, after which shifts will start at 8 am, 9 am, or 10 am depending on your time zone. A smartphone is also 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 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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