Pharmacy Technician

Actalent; City of Rochester (NY); Remote; USD 28,000 - 32,000; Full time

Job summary

Actalent is seeking a Pharmacy Technician to support formulary management, audits, and coordination of prior authorization processes for SHP and Medicare programs. The role involves reviewing drug requests, resolving issues with Clinical Pharmacists, and ensuring compliance through audits.

The position offers a fully remote work arrangement for a Contract to Hire opportunity with competitive hourly pay and opportunities for training and development within a dynamic health services team.

Qualifications

• High School diploma or GED is required.
• At least 1 year of Pharmacy Technician experience.
• Customer service or retail experience.
• Valid Pharmacy Technician License preferred.

Responsibilities

• Review and process formulary change requests and maintain formulary status grids.
• Perform audits and quality checks on formulary status for accuracy and compliance.
• Assist Clinical Pharmacists with formulary database maintenance and updates.
• Perform assignments related to pharmacy audit and recovery, including reviewing paid claims for discrepancies.
• Handle member inquiries and educate them on pharmacy benefits and prior authorization options.
• Review and document prior authorization requests and resolve related issues.
• Process PDE files, perform audits, and assist with pharmacy claims corrections.
• Liaise with internal and external departments for SHP pharmacy operational issue resolution.
• Prepare and review operational reports and audits for SHP formulary management.
• Assist in the implementation of regulatory changes and maintain consistent processes.
• Identify validity of appeals and research using formularies to verify if additional information is needed.
• Track and triage coverage determination and prior authorization requests for Medicare Part D and Part B.

Skills

Customer Service

Retail Experience

Pharmacy Technician Experience

Education

High School diploma or GED

Pharmacy Technician License

Job description

Job Title

Pharmacy Technician

Job Description

The Pharmacy Technician plays a crucial role in various areas including Formulary Management, Pharmacy Audit and Recovery, Pharmacy Service Center, Medicare Part D/Part B, Appeals, and State Health Programs Pharmacy Operations or Prior Authorization. This position involves reviewing requests for the use of prescription drugs and pharmacy benefits, resolving questions or issues, and consulting with Clinical Pharmacists or Regional Medical Directors when necessary.

Responsibilities

• Review and process formulary change requests and maintain formulary status grids.
• Perform audits and quality checks on formulary status for accuracy and compliance.
• Assist Clinical Pharmacists with formulary database maintenance and updates.
• Perform assignments related to pharmacy audit and recovery, including reviewing paid claims for discrepancies.
• Handle member inquiries and educate them on pharmacy benefits and prior authorization options.
• Review and document prior authorization requests and resolve related issues.
• Process PDE files, perform audits, and assist with pharmacy claims corrections.
• Liaise with internal and external departments for SHP pharmacy operational issue resolution.
• Prepare and review operational reports and audits for SHP formulary management.
• Assist in the implementation of regulatory changes and maintain consistent processes.
• Identify validity of appeals and research using formularies to verify if additional information is needed.
• Track and triage coverage determination and prior authorization requests for Medicare Part D and Part B.

Essential Skills

• High School diploma or GED
• 1 year of Pharmacy Technician experience
• Customer Service or retail experience
• Valid Pharmacy Technician License preferred

Additional Skills & Qualifications

• Experience in pharmacy, data entry, and prior authorization
• Ability to handle appeals effectively

Work Environment

The Pharmacy Technician will work in a dynamic environment that involves interaction with various departments and handling sensitive information. The role requires adherence to company policies and standards, with opportunities to engage in ongoing training and development.

Job Type & Location

This is a Contract to Hire position based out of Rochester, NY.

Pay And Benefits

The pay range for this position is $20.00 - $23.00/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)

Application Deadline

This position is anticipated to close on Nov 16, 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.