Certified Pharmacy Technician
Actalent
Job Title: Pharmacy Technician
Job Description
Join a dynamic healthcare insurance company as a Pharmacy Technician, where you will play a crucial role in reviewing prior authorizations for a Pharmacy Services department. You will have the responsibility of approving or denying authorizations and forwarding them for final review. Occasionally, you will handle phone calls related to certain health plans. This position offers the opportunity to become permanent, with long-term career prospects and benefits once permanent.
Responsibilities
+ 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 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 Skills
+ Registered pharmacy technician status in the state of residence.
+ Current Pharmacy Registration and Certification as required by the state of operation.
+ High School diploma or GED.
+ Strong computer skills.
+ Proficiency in Microsoft Office and Outlook.
Additional Skills & Qualifications
+ Nationally Certified Technician preferred, required for some supervisory roles.
+ Experience in customer service.
+ Experience in prescription benefits, PBM, hospital, or specialty pharmacy settings.
+ Basic data entry skills.
Work Environment
This is a professional remote work environment, requiring a dedicated office space with a closed door and strong Wi-Fi connectivity. Work involves multiple screens and systems. Shifts are Monday-Friday, 8am-7pm in the employee's time zone, with rotating weekends every 4-6 weeks and potential holiday work. Training is conducted Monday-Friday from 10-6:30 EST. Flexibility in shift scheduling is possible, and overtime is occasionally offered. Employees must have a smartphone, and necessary equipment including a computer, monitor, and headset will be provided.
Job Type & Location
Remote
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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