Clinical Pharmacy Specialist

Actalent; United States; À distance; USD 28 000 - 40 000; Plein temps

Avantages offerts par ce poste

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Disability coverage

HSA

Résumé du poste

Actalent is seeking a Certified Pharmacy Technician (PTCB) to support pharmacy prior authorizations, exceptions, and appeals in a fast-paced healthcare environment. This is a fully remote opportunity for candidates residing within 2 hours of Chattanooga, TN.

The ideal candidate will have strong pharmacy knowledge, excellent communication skills, and the ability to work independently while maintaining a high level of accuracy.

Qualifications

• Must hold National Pharmacy Technician Certification (PTCB).
• Active CPhT credential preferred.
• Must reside within 2 hours of Chattanooga, TN.
• Strong knowledge of pharmacy processes and terminology.
• Proficient with Microsoft Office Suite.
• Excellent verbal and written communication.
• Strong organizational and multitasking abilities.
• Demonstrated problem-solving and decision-making skills.
• Ability to work independently with minimal supervision.
• Attention to detail and commitment to quality.

Responsabilités

• Review and process prior authorization requests, exceptions, and appeals.
• Handle incoming calls and requests related to PBM services.
• Enter authorizations and test claims in the PBM system.
• Perform data entry, system updates, and claim adjudication.
• Maintain records, logs, and documentation.
• Support audits and quality assurance initiatives.
• Collaborate with internal teams to resolve requests promptly.
• Adhere to HIPAA and company compliance requirements.

Connaissances

PTCB certification

CPhT credential

Independent work

Communication skills

Attention to detail

Organizational skills

Problem solving

MS Office proficiency

Outils

MS Office Suite

Description du poste

Pharmacy Technician (Remote - Tennessee)

Job Summary

We are seeking a Certified Pharmacy Technician (PTCB) to support pharmacy prior authorizations, exceptions, and appeals in a fast-paced healthcare environment. This is a fully remote opportunity for candidates residing within 2 hours of Chattanooga, TN. The ideal candidate will have strong pharmacy knowledge, excellent communication skills, and the ability to work independently while maintaining a high level of accuracy.

Key Responsibilities

• Review and process pharmacy prior authorization requests, exceptions, and appeals from providers and members.
• Accept and manage incoming calls and requests related to pharmacy benefit services.
• Enter authorizations and test claims within the pharmacy benefit management system.
• Perform data entry, system updates, and claim adjudication activities.
• Maintain accurate records, tracking logs, and documentation.
• Support departmental audits and quality assurance initiatives.
• Collaborate with internal teams to ensure timely and accurate resolution of requests.
• Adhere to all HIPAA and company compliance requirements.

Required Qualifications

• National Pharmacy Technician Certification (PTCB) required.
• Active Certified Pharmacy Technician (CPhT) credential preferred.
• Must reside within 2 hours of Chattanooga, TN.
• Strong knowledge of pharmacy processes and terminology.
• Proficiency with Microsoft Office Suite (Outlook, Word, Excel, and PowerPoint).
• Excellent verbal and written communication skills.
• Strong organizational and multitasking abilities.
• Demonstrated problem-solving and decision-making skills.
• Ability to work independently with minimal supervision.
• Strong attention to detail and commitment to quality.

Preferred Qualifications

• Medicare experience.
• Pharmacy coverage review experience.
• Previous call center or healthcare customer service experience.
• Experience working with pharmacy benefit management systems.

Job Type & Location

This is a Contract position based out of Chattanooga, TN.

Pay and Benefits

The pay range for this position is $24.42 - $24.42/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.

• 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 Chattanooga, TN.

Application Deadline

This position is anticipated to close on Nov 10, 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 withoutregard to race, sex, age, color, religion, national origin, veteran status, disability,sexual orientation, gender identity, genetic information or any characteristic protectedby law.

If you would like to request a reasonable accommodation, such as the modification oradjustment 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 thecity and county of San Francisco, we will consider for employment qualified applicantswith arrest and conviction records.

Massachusetts Lie Detector:It is unlawful in Massachusetts to require or administer a lie detector test as acondition of employment or continued employment. An employer who violates this lawshall 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 applicationsand qualifications, but final decisions are made by our hiring team. By applying, youacknowledge and agree that your application may be reviewed using AI tools.