Job Title: Pharmacy Technician
Job Description

Hiring Technicians for Appeals department! This is not traditional CDPA Review - this is Medical Authorizations, a lot of injectables done at the doctor's office. Not traditional prescription authorizations.Mostly a data entry position, some outbound phone work to call doctors or members. You will be reviewing rejected Prior Authorizations that have gone to appeal. This is Technicians Review, where you will review the cases that were rejected. You may call doctor's offices and members to gather more information. You may get some inbound calls from those doctor's offices and members if they call back.You will log into the CPS Compass and UMV systems, as well as the Express Scripts platform. You will access the department’s inbound fax queue, select the earliest available fax, and build/intake the appeal or reimbursement request from the information provided on the fax into the member account in the Compass system and/or review Pharmacy Appeals or Reimbursement cases and review against plan criteria. You will also be required to make outreach to provider’s offices and members to obtain additional information needed to review cases.

Hard SkillsPharmacy Technician LicenseComputer skillsMicrosoft OfficeJob Type

This is a Contract-to-Hire position with a duration of 6 Month(s).

Work Site

This is a fully remote position.

Work Environment

100% Remote, in a quiet and closed door setting, must have strong wifi. Monday-Friday: 8am-8pm in their time zone. Most likely going to be a 10-6:30pm shift after training; M-F, weekend rotations - available Sat/Sun every 4-6 weeks, and could be working a holiday. Would not be working the Holidays this year. Training is 4 weeks long- Monday - Friday 10-6:30pm EST. Shifts will be 10-6:30 in their time zone.

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.