• Job Description

  Req#: JP-005295956

  Job Title: Pharmacy Technician

  Job Description

  We are seeking dedicated pharmacy technicians to join a healthcare insurance company. In this role, you will be responsible for reviewing Prior Authorizations for coverage determination in a Pharmacy Services department. You will either approve or deny these authorizations and then forward them to pharmacists for final review. This position involves handling all health plans and types of medications with minimal phone work, primarily outbound calls.

  Responsibilities

  • Track coverage determination requests and obtain verbal authorizations.
  • 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 and obtain detailed clinical information from prescribers.
  • 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, including proficiency in Microsoft Office and data entry.
  • Experience with prior authorization and prescription benefits.
  • Registered Pharmacy Technician and Certified Pharmacy Technician credentials.

  Additional Skills & Qualifications

  • Experience in retail pharmacy, hospital, or specialty pharmacy settings.
  • Knowledge of Medicare, Medicaid, and insurance health plans.
  • Excellent customer service skills.
  • Certification from PTCB or NHA.

  Work Environment

  This is a remote position within a professional environment. You will work with multiple screens and systems, requiring a strong wifi connection and a dedicated office space with a closed door.

  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 5, 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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