Pharmacy technician

Actalent; Springfield (MO); Remote; USD 10,000 - 60,000; Full time

Job summary

Join a forward-thinking healthcare services team as a Pharmacy Technician, where you will play a crucial role in reviewing prior authorizations and ensuring coverage determinations. This fully remote position offers a dynamic environment where your expertise in pharmacy practices and customer service will shine. You'll be responsible for approving requests, communicating with providers, and utilizing your knowledge of health plans to make impactful decisions. With a competitive pay range and a variety of benefits including medical, dental, and a retirement plan, this opportunity is perfect for those looking to advance their career in a supportive and innovative setting.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Short and long-term disability

Health Spending Account (HSA)

Transportation benefits

Employee Assistance Program

Paid Time Off (PTO)

Vacation or Sick Leave

Qualifications

• Must have a valid Pharmacy Technician certification.
• Experience with prior authorization processes is essential.

Responsibilities

• Track and approve coverage determination requests.
• Notify providers and members of decision outcomes.

Skills

Pharmacy Registration and Certification

Basic Computer Skills

Microsoft Office Proficiency

Data Entry Skills

Customer Service Skills

Prior Authorization Processes

Knowledge of Medicare and Medicaid

Registered Pharmacy Technician (PTCB, NHA)

Education

High School diploma or GED

Tools

Prescription Benefits Management (PBM) systems

Job description

Pharmacy Technician

We are seeking dedicated Pharmacy Technicians to join our team. In this role, you will review Prior Authorizations for coverage determination within a Pharmacy Services department, which is part of a large healthcare insurance company. You will be responsible for approving or denying requests and sending them to Pharmacists for final review. This position involves minimal phone work, primarily outbound calls, and handling all health plans and types of medications.

Responsibilities

1. Track coverage determination requests.
2. Obtain verbal authorizations and request detailed clinical information from prescribers.
3. Approve requests based on criteria and enter decisions into the PBM system.
4. Notify providers and members of decision outcomes.
5. Respond to client inquiries and refer requests for specialty drugs.
6. Contact providers for additional information when necessary.
7. Assist with inbound and/or outbound patient or physician calls if needed.

Essential Skills

• High School diploma or GED.
• Current Pharmacy Registration and Certification as required by the state of operation.
• Basic computer skills.
• Proficiency in Microsoft Office and Outlook.
• Strong data entry and customer service skills.
• Experience with prior authorization processes.
• Knowledge of Medicare, Medicaid, and insurance health plans.
• Registered and certified Pharmacy Technician (PTCB, NHA).

Additional Skills & Qualifications

• Experience in retail pharmacy, hospital pharmacy, or specialty pharmacy.
• Call center experience.
• Experience with Prescription Benefits Management (PBM) systems.

Work Environment

This is a professional remote environment. You will work with multiple screens and within multiple systems. A strong WiFi connection and a dedicated office space with a closed door are required.

Pay and Benefits

The pay range for this position is $18.00 - $20.00/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 specific to your plan or election. Available benefits may include:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital coverage
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions
• Life Insurance (Voluntary Life & AD&D)
• 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 May 18, 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 nearly 30,000 consultants and over 4,500 clients worldwide, Actalent serves many Fortune 500 companies.

The company is an equal opportunity employer and considers all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, or genetic information. For reasonable accommodations during the application or interview process, please contact [e-mail].