Certified Pharmacy Technician - FULLY REMOTE

Actalent; Orlando (FL); A distancia; USD 25.000 - 30.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental & vision

401(k) plan

Paid time off

Descripción de la vacante

Actalent seeks a Certified Pharmacy Technician for a fully remote, contract role in Medicaid prior authorizations. You will evaluate and authorize PA requests, document outcomes, and communicate decisions to physicians and staff from a high-volume call center.

The position requires CPhT certification and an active state license, with 1+ year in retail or call center pharmacy. Training is provided and the contract may extend after one year.

Formación

• National pharmacy technician certification (CPhT) is required.
• Active state pharmacy technician registration or license is required.
• High School Diploma or GED is required.
• At least 1 year of experience in a retail or call center pharmacy environment (3+ years preferred).

Responsabilidades

• Evaluate and authorize Medicaid prior authorization requests by phone following defined clinical criteria.
• Determine medication appropriateness based on established guidelines and client criteria.
• Communicate PA decisions to physicians, office staff, medical management staff, and pharmacists.
• Document PA outcomes accurately in the pharmacy system.
• Explain PA criteria, coverage, and formulary alternatives to prescribers and staff.
• Escalate complex cases to a Pharmacist per escalation procedures.
• Record inquiries and outcomes, providing responses as needed.
• Process and review coverage determinations for medications received via fax.
• Communicate coverage decisions for faxed requests within SLA timeframes.
• Multitask across queues and adapt to changing workflows.
• Navigate multiple systems to research and process PA requests.
• Deliver high level customer service in a remote environment.
• Work independently in a fast-paced remote setting meeting productivity and SLA.

Conocimientos

CPhT Certification

Active state license

Customer service

Pharmacy call center experience

Educación

High School Diploma or GED

Descripción del empleo

Fully Remote Certified Pharmacy Technician

Can Gain Hands-On Experience with Prior Authorizations | Must be Certified

Job Description

The Certified Pharmacy Technician evaluates and authorizes Medicaid prior authorization pharmacy requests in a high-volume call center environment, using established clinical criteria and clear step-by-step guidelines. This role focuses on determining medication appropriateness, documenting outcomes in pharmacy systems, and communicating coverage decisions and formulary alternatives to prescribers, providers, and pharmacy professionals. The position is fully remote and offers structured training, modern equipment, and the potential to extend or convert after the initial one-year contract.

Responsibilities

• Evaluate and authorize Medicaid prior authorization pharmacy requests from prescribers received by telephone, following defined clinical criteria.

• Determine the appropriateness of prescribed medications based on established guidelines and client criteria.

• Communicate prior authorization decisions to physicians, physician office staff, medical management staff, and pharmacists in a clear and professional manner.

• Document all prior authorization outcomes accurately in the pharmacy system to ensure complete and compliant records.

• Explain applicable prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to prescribers, office staff, medical management staff, and pharmacists.

• Escalate requests to a Pharmacist when cases require extensive clinical review or when a denial is indicated, following step-by-step escalation procedures.

• Record physician and client inquiries, grievances, and outcomes, and provide verbal or written responses to prescribers, providers, clients, and internal management as needed.

• Process and clinically review coverage determinations for medications received via fax, ensuring attention to detail and adherence to criteria.

• Communicate coverage decisions for faxed requests within established service level agreement (SLA) timeframes.

• Efficiently multitask and monitor several work queues and assignments, including fax work, pending queues, oral notifications, and failed faxes.

• Adapt to changing team and business requirements, shifting focus among different queue types and workflows as needed.

• Navigate multiple computer systems and applications to research, document, and process prior authorization requests.

• Deliver a high level of customer service to prescribers, office staff, and pharmacy professionals, maintaining professionalism in all interactions.

• Work independently in a fast-paced remote environment while meeting productivity, quality, and SLA expectations.

Additional Skills & Qualifications

• Active state pharmacy technician registration or license, verified through the appropriate State Board of Pharmacy.

• National pharmacy technician certification (CPhT) through PTCB or NHA, with verifiable certification status.

• High School Diploma or GED.

• At least 1 year of experience in a retail or call center pharmacy environment (3 or more years preferred).

Job Type & Location

This is a Contract position based out of Orlando, FL.

Pay and Benefits

The pay range for this position is $18.00 - $22.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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)

Job Type & Location

This is a Contract position based out of Orlando, FL.

Application Deadline

This position is anticipated to close on Nov 5, 2026.

Workplace Type

This is a fully remote position.

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 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

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 process due to a disability, please email [e-mail] for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.