Remote Pharmacy Technician

Reviewing Prior Authorizations for determination for a Pharmacy Services department

Must either approve or deny and then send them to a pharmacists for final review

Handling all health plans, and all types of medications

Handling some phone calls from members - inbound call

Track coverage determination requests submitted from 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 decision into the PBM system and notify providers and/or members

Respond to client inquiries regarding authorization approvals and PBM on-line applications

Refer coverage determination requests for specialty drugs to delegated vendor or client for processing

Contact providers for additional information to facilitate coverage determination reviews

Notify physicians, providers, and members of coverage determination request decisions

 

Qualifications

Must have a minimum of High School Diploma or GED

Must hold an active Pharmacy Technician license as required by state of operation

Experience retail pharmacy, hospital, or specialty pharmacy environments

Must be able to type 40 WPM

 

Shift

Must have availability Monday-Friday between 8am-8pm in your respective time zone for an 8 hour shift. Overtime available.

Rotating weekends (will enter into a rotation for weekends, won't be working every weekend or every other weekend, but every 4-6 weeks)

Must be able to work some holidays

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.