Job Title: Pharmacy Technician

Job Description

We are seeking experienced Pharmacy Technicians to join our team in the EST Timezone. As a Pharmacy Technician, you will be responsible for reviewing Prior Authorizations for coverage determination within a large healthcare insurance company's department. Your primary task will be to approve or deny requests and send them for a Pharmacist's 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 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 as needed.

Essential Skills

• High School diploma or GED.
• Current Pharmacy Registration and Certification as required by state of operation.
• Basic computer skills.
• Strong computer skills, including proficiency in Microsoft Office and Outlook.
• Experience with Prior Authorization processes.
• Excellent data entry and customer service skills.

Additional Skills & Qualifications

• Certification by PTCB or NHA.
• Registered Pharmacy Technician license.
• Experience in retail pharmacy, hospital, or specialty pharmacy settings.
• Familiarity with Medicare and Medicaid prescription benefits.
• Call center experience.

Work Environment

This is a professional remote work environment. You will be working with multiple screens and systems, so strong Wi-Fi and a dedicated office space with a closed door are essential. The shift is Monday-Friday, 8am-8pm in your local time zone, with rotating weekends every 4-6 weeks and some holidays. Training will be from 10am-6:30pm EST. After training, regular shifts will be assigned, and schedules are sent three months in advance. You must have a smartphone, and the company will provide necessary equipment such as a computer, monitor, and headset.

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