"Alerted.org

Job Title: Pharmacy Technician

Job Description

We are seeking a dedicated Pharmacy Technician to join our MedPharma team, focusing on Medicare and Medicaid patients, predominantly Medicare. The role involves working through Prior Authorizations to ensure patients receive the medications they need.

Responsibilities

+ Handle the intake of MedPharm prior authorizations, setting up cases in the system, and forwarding them to the review team.

+ Conduct Tech Reviews by evaluating PA cases to determine coverage eligibility, approving or denying medications based on clinical determinations.

+ Read and understand criteria, SOPs, insurance documents, and medical documents to make informed decisions.

+ Provide excellent customer service over the phone, managing calls, and effectively controlling and redirecting conversations as needed.

Essential Skills

+ Data entry skills

+ Pharmacy Technician certification

+ Experience with managed care and claims

+ Prior Authorization experience

+ Strong computer skills

+ Ability to work remotely and independently

+ Exceptional customer service skills

Additional Skills & Qualifications

+ Experience in managed care and pharmacy

+ Ability to handle customer service calls efficiently

+ Capability to work in a HIPAA-compliant environment

+ Strong proficiency with computer systems and remote work setups

Work Environment

This position is 100% remote and requires a closed-door setting with limited distractions to maintain HIPAA compliance. Strong WiFi and the ability to work independently are necessary. Training is conducted Monday to Friday from 10 AM to 6:30 PM EST. Regular work hours are Tuesday to Saturday, with Tuesday to Friday from 12:30 PM to 9 PM EST, and Saturday from 8 AM to 4:30 PM EST. Lunch breaks range from 30 minutes to an hour. Holidays are rotated among team members.

Job Type & Location

This is a Contract to Hire position

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 Nov 4, 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.