Coverage Determination Technician

ITAC Solutions; Birmingham; Remote; GBP 40,000 - 60,000; Full time

Job summary

A healthcare solution provider is seeking a Contract Coverage Determination Technician in Birmingham. This role involves processing medication authorization requests and requires a pharmacy technician license. Ideal candidates will have relevant experience and excel in a supportive team environment. Work from home with a stable contract opportunity and a consistent schedule.

Benefits

No commuting required

Company-provided equipment

Consistent weekday schedule

Qualifications

• Hold an active state pharmacy technician license or CPhT certification.
• Prior experience in a hospital, retail, or PBM call center pharmacy role.
• Prior authorization experience in accepting/rejecting requests.

Responsibilities

• Review and process prior authorization (PA) requests for medications.
• Determine approval or rejection based on established guidelines.
• Accurately enter and update data in multiple systems.

Skills

Active state pharmacy technician license or CPhT certification

Experience in hospital, retail, or PBM pharmacy call center

Prior authorization experience

Ability to communicate effectively

Job description

Join our client’s team in a critical, behind-the-scenes healthcare role that makes a real difference for patients every day. As a Contract Coverage Determination Technician (CST Timezone) , you’ll help ensure people get the medications they need—quickly, accurately, and with compassion. You’ll be part of a collaborative team where your pharmacy expertise directly impacts patient care.

Benefits & Extras:

• No commuting required
• Company-provided equipment with easy pickup in Birmingham, AL
• Stable, long-term contract opportunity (with strong potential for extension)
• Consistent weekday schedule (no nights or weekends)
• Join a supportive team culture that values accuracy and efficiency

Compensation: $19 – $20 per hour DOE

What You’ll Be Doing:

• Review and process prior authorization (PA) requests for medications
• Determine approval or rejection based on established guidelines
• Accurately enter and update data in multiple systems
• Communicate with providers when needed for outbound calls
• Learn and navigate pharmacy benefit management (PBM) systems and other technology tools
• Follow regulatory requirements and internal processes
• Maintain high productivity while ensuring quality and compliance

What You’ll Need to Be Considered:

• Hold an active state pharmacy technician license or CPhT certification
• Prior experience in a hospital, retail, or PBM call center pharmacy role
• Prior authorization experience in accepting/rejecting requests
• Access to high-speed internet
• Ability to train on a CST schedule for the first two weeks

Apply now!
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