Job Title: Pharmacy Technician

Job Description

We are seeking dedicated Pharmacy Technicians to join our team in the EST timezone. As a Pharmacy Technician, you will play a crucial role in reviewing Prior Authorizations for coverage determination. You will be responsible for approving or denying requests and sending them to a Pharmacist for final review. This role involves handling all health plans and types of medications, with minimal phone work, primarily outbound calls.

Responsibilities

• Track coverage determination requests.
• Obtain verbal authorizations and request detailed clinical information from prescribers.
• Approve or deny 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 as needed.
• Assist with inbound and/or outbound patient or physician calls if required.

Essential Skills

• High School diploma or GED.
• Current Pharmacy Registration and Certification as required by the state of operation.
• Strong computer skills.
• Experience with Prior Authorization processes.
• Proficiency in Microsoft Office, including Outlook.
• Data entry skills.
• Customer service experience.
• Registered Pharmacy Technician status.
• Certified Pharmacy Technician (CPhT) certification.
• Experience with Medicare, Medicaid, and insurance-related processes.

Additional Skills & Qualifications

• National Healthcareer Association (NHA) certification.
• Experience in retail pharmacy, hospital, or specialty pharmacy settings.
• Experience in a call center environment.
• Experience with Prescription Benefit Management (PBM).

Work Environment

This is a professional remote environment. You will work with multiple screens and systems, requiring a strong Wi-Fi connection and a dedicated office space with a closed door. The shift is Monday to Friday, 8am-8pm in your local timezone, with rotating weekends every 4-6 weeks and occasional holidays. Training will be from 10am-6:30pm EST. After training, regular shifts are scheduled three months in advance. Equipment, including a computer, monitor, and headset, will be provided. Flexibility is offered based on tenure and performance metrics.

Pay and Benefits

The pay range for this position is $18.00 - $20.00

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.

Salary : $18 - $20