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Job Title: Pharmacy Technician

Job Description

We are seeking a dedicated Pharmacy Technician to manage and process coverage determination requests. This role involves handling requests from providers, obtaining necessary authorizations, and ensuring accurate entry and documentation in the Pharmacy Benefit Management (PBM) system.

Responsibilities

+ Track and triage coverage determination requests submitted from providers.

+ Determine if a pharmacist review is required.

+ Obtain verbal authorizations and request detailed clinical information from prescribers.

+ Approve coverage determination requests based on defined criteria.

+ Enter and document coverage determination request decisions into the PBM system.

+ Notify providers and/or members of coverage determination request decisions.

+ Respond to client inquiries regarding authorization approvals and PBM online applications.

+ Refer coverage determination requests for specialty drugs to delegated vendors or clients for processing.

+ Contact providers for additional information to facilitate coverage determination reviews.

+ Notify physicians, providers, and members of coverage determination request decisions.

Essential Skills

+ Proficiency in pharmacy practices.

+ Customer service expertise.

+ Experience with prior authorization processes.

+ Data entry skills.

+ Certified Pharmacy Technician (CPhT).

Additional Skills & Qualifications

+ 3-5 years experience a pharmacy technician

+ State and national pharmacy technician licenses. (Both Required)

Work Environment

The work environment is fully remote and involves interaction with healthcare providers. Familiarity with PBM systems and online applications is essential. The role requires attention to detail and effective communication skills.

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 13, 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.