Job Title: Remote Pharmacy Technician

Job Description

We are seeking experienced pharmacy technicians to join our team in the EST time zone. In this role, you will be responsible for reviewing Prior Authorizations for coverage determination for a department within a large healthcare insurance company. You will either approve or deny authorizations and send them to a pharmacist for final review. This position involves handling all health plans and types of medications with minimal phone work, mostly outbound when necessary.

ResponsibilitiesTrack 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 and refer requests for specialty drugs.Contact providers for additional information.Assist with inbound and/or outbound patient or physician calls, if needed.Essential SkillsHigh School diploma or GED.Current Pharmacy Registration and Certification as required by the state of operation.Basic computer skills.Strong computer skills, including experience with Microsoft Office and data entry.Registered Pharmacy Technician (RPhT) and Certified Pharmacy Technician (CPhT).Familiarity with Prior Authorization processes.Customer service experience in a retail pharmacy or call center environment.Experience with prescription benefits management (PBM).Additional Skills & QualificationsNational certification through PTCB.Experience with Medicare and Medicaid insurance.Previous experience in a hospital or specialty pharmacy setting.Work Environment

This is a professional remote environment. You will be working with multiple screens and within various systems. A strong Wi-Fi connection and a dedicated office space with a closed door are required. The potential shift hours are Monday-Friday, between 8am-8pm in your local time zone, with rotating weekends every 4-6 weeks and some holidays. Holiday schedules are bid upon. Training will be from 10am-6:30pm EST. Equipment, including a computer, monitor, and headset, will be provided. There is potential for flexibility based on performance and tenure.

Pay and Benefits

The pay range for this position is $18.00 - $20.00/hr.

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Feb 9, 2025.

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.