Pharmacy Technician Remote 100%

Lensa; California City (CA); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading company seeks a Pharmacy Technician for a fully remote position responsible for managing coverage determination requests for prior authorizations and Medicare Part D recipients. Candidates should have a high school diploma, experience in pharmacy settings, and a current Pharmacy Technician license. This role offers competitive pay and a dynamic work environment interacting with healthcare professionals.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Short and long-term disability

Health Spending Account (HSA)

Employee Assistance Program

Time Off/Leave

Qualifications

• 1+ years of experience in retail, hospital, or mail order pharmacy is preferred.
• Current state Pharmacy Technician license is required.
• National Certification from Pharmacy Technician Certification Board (CPhT) is a plus.

Responsibilities

• Track and triage coverage determination requests submitted from providers.
• Approve coverage determination requests based on defined criteria.
• Respond to client inquiries regarding authorization approvals and PBM online applications.

Skills

Experience in retail, hospital, or mail order pharmacy

Knowledge of prior authorization processes

Education

High school diploma or equivalent

Current state Pharmacy Technician license

National Certification from Pharmacy Technician Certification Board (CPhT)

Tools

Pharmacy benefits management systems

Job description

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Pay found in job post

Retrieved from the description.

Base pay range

$18.00/hr - $19.00/hr

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Job Title: Pharmacy Technician 100% Remote If you are interested in please reach out to me at 913 363 9258

Job Description

As a Pharmacy Technician, you will play a crucial role in tracking and triaging coverage determination requests for prior authorizations and Medicare Part D recipients. Your primary purpose in this position is to ensure efficient processing and accurate documentation within the pharmacy benefits system.

Responsibilities

• Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required.
• Obtain verbal authorizations and request detailed clinical information from prescribers.
• Approve coverage determination requests based on defined criteria.
• Enter and document coverage determination request decisions into the PBM system and notify providers and/or members.
• Respond to client inquiries regarding authorization approvals and PBM online applications.
• Refer coverage determination requests for specialty drugs to delegated vendor or client for processing.
• Contact providers for additional information to facilitate coverage determination reviews.
• Notify physicians, providers, and members of coverage determination request decisions.
  
  

Essential Skills

• High school diploma or equivalent.
• 1+ years of experience in retail, hospital, or mail order pharmacy.
• Current state Pharmacy Technician license.
  
  

Additional Skills & Qualifications

• National Certification from Pharmacy Technician Certification Board (CPhT) preferred.
• Experience with pharmacy benefits system (PBS system) is a huge plus.
• Knowledge of prior authorization and Medicare processes.
  
  

Work Environment

The work environment is dynamic and requires interaction with healthcare providers and members. You will utilize pharmacy benefits management systems and collaborate with various stakeholders to achieve efficient and accurate coverage determinations.

Pay and Benefits

The pay range for this position is $18.00 - $19.00/hr.

Requirements

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)
  
  

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jun 27, 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 almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

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

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

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