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Job Title: Pharmacy TechnicianJob Description

As a Pharmacy Technician, you will play a crucial role in reviewing prior authorizations and determining their approval or denial within a Pharmacy Services department of a large healthcare insurance company. You will manage health plans and various types of medications, ensuring seamless operations by collaborating with pharmacists for final reviews.

Responsibilities

+ Process prescription exceptions, including resolving claim rejects and conducting outreach to members and physicians.

+ Enter member demographics and prescription information into the data processing system.

+ Research and resolve rejected insurance billing issues and escalated member concerns.

+ Escalate prescription-related questions to a pharmacist for interpretation or guidance on processing.

+ Assist with inbound and outbound calls from patients or physicians.

Essential Skills

+ High School diploma or GED.

+ Current Pharmacy Registration and Certification as required by the state of operation.

+ Basic computer skills.

+ Nationally Certified Technician and registered pharmacy technician in the state of residence.

Additional Skills & Qualifications

+ Strong computer skills, including proficiency in Microsoft Office and Outlook.

+ Experience in call center, PBM, hospital, specialty pharmacy, or prescription benefits.

Work Environment

This is a professional remote work environment requiring a strong Wi-Fi connection and a personal office space with a closed door. You will work with multiple screens and systems. The shift is Monday to Friday, 8 am to 8 pm in your time zone, with rotating weekends every 4-6 weeks. Some holiday work is required, with holiday schedules determined by bidding. Training will be from 10 am to 6:30 pm EST, and post-training shifts will start at 8 am, 9 am, or 10 am in your time zone. Equipment, including a computer, monitor, and headset, will be provided.

Pay and Benefits

The pay range for this position is $18.00 - $20.00/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 May 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 [email protected] (%[email protected]) for other accommodation options.