Job Description
We are seeking a dedicated Pharmacy Technician to join our team in a remote capacity. This position involves reviewing Prior Authorizations for a Pharmacy Services department within a large healthcare insurance company. The technician will be responsible for approving or denying requests and forwarding them to pharmacists for final review. This role involves handling all health plans and types of medications, with minimal phone work required.
ResponsibilitiesReview coverage determination requests submitted by providers and assess the need for pharmacist review.Obtain verbal authorizations and request detailed clinical information from prescribers.Approve coverage determination requests based on predefined 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 SkillsHigh School diploma or equivalent.Current Pharmacy Registration and Certification as required by the state of operation.Basic computer skills, including proficiency in Microsoft Office and Outlook.Strong customer service skills.Data entry skills.Registered Pharmacy Technician with a Pharmacy Technician license.Additional Skills & QualificationsNationally Certified Technician is a plus and required for some supervisor roles.Experience in call centers, PBM, hospitals, specialty pharmacy, or prescription benefits is advantageous.Work Environment
This position is a professional remote environment requiring strong WiFi and a personal office space with a closed door. Work will involve multiple screens and systems. Equipment such as a computer, monitor, and headset will be provided. Candidates must be open to working Monday-Friday from 8 am to 7 pm in their time zone, with rotating weekends and some holidays. Training will be conducted from 10 am to 6:30 pm EST, Monday-Friday. The schedule will be determined post-training, with flexibility and occasional overtime available. A smartphone is required.
Job Type & Location
This is a Contract to Hire position based out of ORLANDO, FL.
Pay and BenefitsThe 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 26, 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 for other accommodation options.