Job Title: Remote Pharmacy Technician

Job Description

We are looking for dedicated Pharmacy Technicians to join our team remotely in the EST Timezone. As a Pharmacy Technician, you will be responsible for reviewing Prior Authorizations for coverage determination. You will either approve or deny these requests and then send them to a Pharmacist for final review. This role involves handling all health plans and all types of medications with minimal phone work, primarily outbound if required.

Responsibilities

• Track coverage determination requests.

• Obtain verbal authorizations and request detailed clinical information from prescribers.

• Approve requests based on criteria and enter decisions into the PBM system.

• Notify providers and members of decision outcomes.

• Respond to client inquiries.

• Refer requests for specialty drugs.

• Contact providers for additional information.

• Assist with inbound and/or outbound patient or physician calls, if needed.

Additional Skills & Qualifications

• Experience in retail pharmacy, call center, PBM, hospital, or specialty pharmacy.

• Understanding of Medicare, Medicaid, and insurance health plans.

• Must be a registered pharmacy technician in the state you reside in and nationally certified.

Pay and Benefits

The pay range for this position is $18.00 - $20.00

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 (%20actalentaccommodation@actalentservices.com) for other accommodation options.