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Pharmacy Technician

Job Description

We are seeking a Pharmacy Technician to join our insurance company, focusing on Medicare and Medicaid patients. The role involves managing the intake of MedPharma prior authorizations, setting up prior authorizations in the system, and sending them to review technicians. Initially, the focus will be on intake processes, with training provided for review tasks. This position requires extensive reading and proficiency in using Microsoft suite to understand insurance criteria and standard operating procedures.

Responsibilities

+ Handle the intake of MedPharma prior authorization requests.

+ Set up prior authorizations in the system.

+ Send prior authorizations to review technicians.

+ Engage in extensive reading and analysis of insurance criteria and SOPs.

Essential Skills

+ Data entry skills.

+ Pharmacy technician certification.

+ Experience with appeals and managed care claims.

+ Prior authorization experience.

+ Strong customer service abilities.

+ Proficiency in computer skills.

+ Ability to work remotely and independently.

+ CPhT certification.

Additional Skills & Qualifications

+ Experience in managed care and pharmacy settings.

+ Prior authorization experience.

Work Environment

This is a 100% remote position requiring work in a closed-door setting with limited distractions, in compliance with HIPAA standards. Strong Wi-Fi connectivity is essential. The role offers a flexible schedule with holidays rotating among team members once fully trained. Lunch breaks vary between 30 minutes to one hour. Initial training lasts 4-6 weeks, Monday to Friday from 10:00 AM to 6:30 PM EST. Post-training, preferred schedules are Sunday-Thursday from 12:00 PM to 8:30 PM or 12:30 PM to 9:00 PM EST, and Tuesday-Saturday from 12:30 PM to 9:00 PM EST, with Saturday hours from 8:00 AM to 4:30 PM EST. The company offers a strong cultural score, holiday benefits, PTO, flexibility, and other benefits.

Pay and Benefits

The pay range for this position is $20.00 - $22.00/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 Aug 13, 2025.

FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.

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.