ORLANDO, FL, 32806, USA
17 hours ago
Certified Pharmacy Technician
Job Title: Pharmacy TechnicianJob Description Join a dynamic team where your skills in reviewing Prior Authorizations for a Pharmacy Services department will be essential. As a Pharmacy Technician, you will be responsible for approving or denying authorizations and coordinating with Pharmacists for final reviews. This role is part of a large healthcare insurance company, handling various health plans and medications. You will occasionally engage in phone communication with members for specific plans. Responsibilities + Track coverage determination requests submitted by providers and assess if pharmacist review is necessary. + 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 the 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. Essential Skills + High School diploma or GED. + Current Pharmacy Registration and Certification as required by the state of operation. + Strong computer skills, including proficiency with Microsoft Office and data entry. + Customer service experience. + Registered Pharmacy Technician with certification such as CPhT or NHA. Additional Skills & Qualifications + Nationally Certified Technician is a plus and required for some supervisory positions. + Experience working in PBM, hospital, or specialty pharmacy environments. Work Environment This is a professional remote work environment requiring a strong WiFi connection and a dedicated office space with a closed door. Work involves managing multiple screens and systems. The schedule requires availability Monday through Friday, 8 AM to 7 PM in your time zone, with rotating weekends every 4-6 weeks and some holidays. Training will occur from 10 AM to 6:30 PM EST, Monday through Friday. Flexibility with shifts is available, and overtime may be offered occasionally. Necessary equipment, such as a computer, monitor, and headset, will be provided. Pay and Benefits The pay range for this position is $18.00 - $22.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • 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 is anticipated to close on Aug 29, 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. 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 due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
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