Job Description
We are looking for experienced Pharmacy Technicians in Florida, Alabama, or South Carolina to join our team. This role involves reviewing Prior Authorizations for determination as part of a large healthcare insurance company. You will be responsible for approving or denying authorizations before sending them to a Pharmacist for final review. You will handle all health plans and all types of medications.
ResponsibilitiesProcess prescription exceptions, including resolving claim rejects and 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 questions regarding prescriptions to a Pharmacist for interpretation or provide direction on processing.Assist with inbound and/or outbound patient or physician calls.Essential SkillsHigh School diploma or GED.Current Pharmacy Registration and Certification as required by the state of operation.Strong computer skills, including proficiency in Microsoft Office and Outlook.Nationally Certified Technician and registered pharmacy technician in the state they live.Experience with prior authorization processes.Ability to work in a remote professional environment with multiple screens and systems.Additional Skills & QualificationsExperience working in retail, call centers, PBM, hospitals, or specialty pharmacies.Certified Pharmacy Technician (CPhT) through PTCB or NHA.Basic computer skills.Work Environment
This is a remote position, requiring a strong wifi connection and a dedicated office space with a closed door. The work schedule is Monday-Friday, 8am-8pm in the time zone you live in, with rotating weekends every 4-6 weeks. You must be able to work some holidays, with holiday schedules determined by a bidding process. Training will be from 10am-6:30pm EST, after which your regular shift will begin. The company will provide necessary equipment, including a computer, monitor, and headset. This role offers the opportunity to go permanent, with long-term career prospects and benefits/paid time off upon becoming a permanent employee.
Pay and BenefitsThe pay range for this position is $18.00 - $19.00
• 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 will be accepting applications until Dec 17, 2024.
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 & InclusionAt 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 peopleThe 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 for other accommodation options.