Job Title: Pharmacy Technician

Job Description

We are seeking a dedicated Pharmacy Technician to join our team. In this role, you will review Prior Authorizations for coverage determinations as part of a large healthcare insurance company. You will be responsible for approving or denying authorizations and forwarding them to pharmacists for final review. This role involves handling all health plans and types of medications, with minimal phone work, although you may occasionally handle inbound calls from members.

ResponsibilitiesTrack coverage determination requests submitted by providers and determine if a pharmacist review is required.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 and notify providers and/or members.Respond to client inquiries regarding authorization approvals and PBM online applications.Refer coverage determination requests for specialty drugs to delegated vendors or clients for processing.Contact providers for additional information to facilitate coverage determination reviews.Notify physicians, providers, and members of coverage determination request decisions.Essential SkillsHigh School diploma or equivalent (GED).Current Pharmacy Registration and Certification as required by the state of operation.Strong computer skills.Registered Pharmacy Technician.Certified Pharmacy Technician (CPhT).Additional Skills & QualificationsExperience with prior authorization processes.Proficiency in Microsoft Office, including Outlook.Customer service skills.Experience working in a call center, PBM, hospital, or specialty pharmacy setting.Work Environment

This is a remote position within a professional environment. You will work with multiple screens and systems, requiring strong Wi-Fi and a dedicated office space with a closed door. The company will provide the necessary equipment, including a computer, monitor, and headset.

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 for other accommodation options.