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Job Title: Pharmacy TechnicianJob Description

The Pharmacy Technician will be responsible for reviewing Prior Authorizations within the Pharmacy Services department of a large healthcare insurance company. The role involves approving or denying authorizations and forwarding them to a Pharmacist for final review. The Technician will handle all health plans and types of medications.

Responsibilities

+ Process prescription exceptions, which may include resolving claim rejects and 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 outbound patient or physician calls.

Essential Skills

+ High School diploma or GED.

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

+ Basic computer skills.

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

+ Strong computer skills.

Additional Skills & Qualifications

+ Experience with Microsoft Office, including Outlook.

+ Certification as a Pharmacy Technician, registered pharmacy technician, or equivalent.

+ Experience in call centers, PBM, hospitals, or specialty pharmacy.

+ Experience with prescription benefits.

Work Environment

This is a professional remote environment, requiring the ability to work in multiple screens and systems. The position requires strong WiFi and a dedicated office space with a closed door. Equipment including a computer, monitor, and headset will be provided. Shift hours are Monday through Friday from 8am to 8pm in the candidate's time zone, with rotating weekends every 4-6 weeks and some holidays. Training will be conducted from 10am to 6:30pm EST, and shifts will begin at 8am, 9am, or 10am in the candidate's time zone post-training. A smartphone is required.

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.