<p>Job Title: Pharmacy Technician</p> <p>Job Description</p> <p>We are seeking dedicated pharmacy technicians to review Prior Authorizations for coverage determination within a Pharmacy Services department. This role is part of a large healthcare insurance company and involves approving or denying requests before forwarding them for final review by a pharmacist. The position primarily involves handling health plans and various medications with minimal phone work, mostly outbound.</p> <p>Responsibilities</p> <ul> <li>Track coverage determination requests and obtain verbal authorizations. </li><li>Approve requests based on criteria and enter decisions into the PBM system. </li><li>Notify providers and members of outcomes and refer requests for specialty drugs. </li><li>Respond to client inquiries and contact providers for additional information. </li><li>Notify stakeholders of decision outcomes and obtain detailed clinical information from prescribers. </li><li>Assist with inbound and/or outbound patient or physician calls, if necessary. </li></ul> <p>Essential Skills</p> <ul> <li>Registered pharmacy technician in the state of residence. </li><li>Nationally certified pharmacy technician. </li><li>Strong computer skills and proficiency with Microsoft Office. </li><li>Experience with prior authorization processes. </li><li>High School diploma or GED. </li></ul> <p>Additional Skills & Qualifications</p> <ul> <li>Certification through PTCB or NHA. </li><li>Experience in retail pharmacy, hospital, or specialty pharmacy settings. </li><li>Familiarity with Medicare and Medicaid. </li></ul> <p>Work Environment</p> <p>The role is conducted in a professional remote environment, requiring the use of multiple screens and systems. A strong Wi-Fi connection and a private office space with a closed door are essential. Work hours are Monday-Friday, 8am-8pm in the local timezone, with rotating weekends every 4-6 weeks and some holidays. Training is scheduled from 10am to 6:30pm EST, after which regular shifts will be assigned. Equipment including a computer, monitor, and headset will be provided, and schedules are sent three months in advance. Flexibility may be offered to employees who have earned it through hitting metrics and tenure.</p> <p>Pay and Benefits</p> <p>The pay range for this position is $18.00 - $20.00/hr.</p> <p>Eligibility requirements apply to some benefits and may depend on your job</p> <p>classification and length of employment. Benefits are subject to change and may be</p> <p>subject to specific elections, plan, or program terms. If eligible, the benefits</p> <p>available for this temporary role may include the following:</p> <ul> <li>Medical, dental & vision </li><li>Critical Illness, Accident, and Hospital </li><li>401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available </li><li>Life Insurance (Voluntary Life & AD&D for the employee and dependents) </li><li>Short and long-term disability </li><li>Health Spending Account (HSA) </li><li>Transportation benefits </li><li>Employee Assistance Program </li><li>Time Off/Leave (PTO, Vacation or Sick Leave) </li></ul> <p>Workplace Type</p> <p>This is a fully remote position.</p> <p>Application Deadline</p> <p>This position is anticipated to close on Jul 11, 2025.</p> <p>About Actalent</p> <p>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.</p> <p>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.</p> <p>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.</p>