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Description

Pharmacy technicians in ALL Time zone Technicians are reviewing Prior Authorizations for coverage determination for a Pharmacy Services department that is a part of a large healthcare insurance company. Must either approve or deny and then send them to a Pharmacists for final review. Handling Medicare and all types of medications. Little, to no phone work and if they do its mostly outbound. This job is a lot of reading over sops, criteria, health insurance plans to determine coverage. They will make the determination of approval or denial. Company JD Summary: Key duties involve tracking coverage determination requests, obtaining verbal authorizations, approving requests based on criteria, entering decisions into the PBM system, and notifying providers and members. Technicians will also respond to client inquiries, refer requests for specialty drugs, contact providers for additional information, and notify stakeholders of decision outcomes. Obtain verbal authorizations and request detailed clinical information from prescribers. May assist with inbound and/or outbound patient or physician calls, if needed Education/Experience: High School diploma. Current Pharmacy Registration and Certification as required by state of operation. Basic computer skills.

Skills

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Top Skills Details

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Additional Skills & Qualifications

Must be a registered pharmacy technician in the state they live Must have a HS Diploma/GED Must have strong computers skills.

Experience Level

Entry Level

Pay and Benefits

The pay range for this position is $18.00 - $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 Oct 15, 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.