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Job Title: Remote Pharmacy Technician

Job Description

As a Pharmacy Technician, you will play a crucial role in reviewing Prior Authorizations for a Pharmacy Services department within a large healthcare insurance company. Your primary responsibilities include approving or denying authorizations and forwarding them to a Pharmacist for final review. You will handle all health plans and various types of medications.

Responsibilities

+ Process prescription exceptions, including resolving claim rejects and conducting member and physician outreach.

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

+ Research and resolve rejected insurance billing issues and/or escalated member issues.

+ Escalate questions regarding prescriptions to a Pharmacist for interpretation or provide direction on processing.

+ Assist with inbound and/or outbound patient or physician calls.

Essential Skills

+ High School diploma or GED.

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

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

+ National Certification as a Pharmacy Technician.

+ Registered Pharmacy Technician in the state of residence.

Additional Skills & Qualifications

+ Experience in call centers, PBM, hospital, or specialty pharmacy settings.

+ Ability to handle prescription benefits.

Work Environment

This is a professional remote work environment. You will work across multiple screens and systems, requiring a strong Wi-Fi connection and a dedicated office space with a closed door. Equipment such as 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 Jun 17, 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.