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Actively Screening for 100% Remote Pharmacy Technicians to join top managed care and healthcare company based out of Orlando, FL.

Job Description

Join our team as a Pharmacy Technician in the Appeals department, where you will play a crucial role in assisting Medicare and Medicaid patients, primarily focusing on Medicare. Your main task will involve working through denied Prior Authorizations and forwarding cases to Pharmacists for final determination. You will review provided information, reach out for additional details, and ultimately send the case to the Pharmacists to decide on whether to uphold or overturn the denial.

Responsibilities

+ Review information provided for denied Prior Authorizations.

+ Reach out for additional necessary information.

+ Send cases to Pharmacists for final determination.

+ Make approximately 60 outbound calls per shift to Medicare/elderly members.

+ Handle calls with Medicare patients who are frustrated due to medication denial.

Essential Skills

+ Data entry skills.

+ Pharmacy Technician certification.

+ Experience with appeals, managed care, claims, and denials.

+ Strong customer service skills.

+ Proficiency in computer skills.

+ Ability to work remotely and independently.

Additional Skills & Qualifications

+ CPHT certification.

+ Experience in handling customer service over the phone.

+ Ability to control and redirect conversations as needed.

Work Environment

This position is 100% remote, requiring work in a closed-door setting with limited distractions to ensure HIPAA compliance. Strong WiFi is necessary, and the ability to work independently is essential. The schedule is Monday through Friday, 10:00 AM to 6:30 PM in your time zone. Candidates must be comfortable working weekends and holidays as part of a rotation. Training will be conducted from 10:00 AM to 6:30 PM EST. There is no PTO during the contract period, but some supervisors may allow time off with the possibility of making up the time, subject to supervisor approval.

Job Type & Location

This is a Contract to Hire position based out of Orlando, Florida.

Pay and Benefits

The pay range for this position is $18.00 - $21.00/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 24, 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.