Remote Medicaid PA Pharmacy Technician

Actalent; Wichita (KS); Remote; USD 25,000 - 36,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) retirement plan

Short/long-term disability

Health Spending Account (HSA)

Time Off

EAP

Job summary

Actalent is seeking a Fully Remote Certified Pharmacy Technician to evaluate Medicaid prior authorization requests in a high-volume call center. You will determine clinical appropriateness, document outcomes, and communicate decisions to healthcare professionals.

This remote, contract-based role offers structured training and potential extension or conversion after the initial term. Responsibilities include evaluating requests, documenting outcomes, explaining criteria, and escalating complex

Qualifications

• High school diploma or GED required.
• Active state pharmacy technician registration or license.
• National certification (PTCB or NHA) preferred.
• Minimum 1 year in retail or call center pharmacy settings.
• Experience with prior authorization processes.
• Strong data entry skills with high accuracy.

Responsibilities

• Evaluate and authorize Medicaid prior authorization requests by phone using clinical criteria.
• Determine medication appropriateness based on guidelines and coverage rules.
• Communicate decisions clearly to prescribers and pharmacy staff.
• Document outcomes accurately in the system.
• Explain criteria and formulary alternatives to clinicians.
• Escalate complex cases to a pharmacist as needed.
• Maintain timely documentation of inquiries and results.
• Review fax-based determinations and meet SLA timelines.
• Handle multiple queues and adapt to changing priorities.
• Work shifts including weekends/holidays and comply with overtime when required.
• Utilize multiple systems to process and research PA requests.
• Participate in classroom-style remote training and onboarding.

Skills

Pharmacy tech registration

PTCB/NHA certification

Retail/call center experience

Data entry accuracy

Communication skills

Remote work capability

Education

High school diploma or GED

Active state pharmacy technician registration

PTCB or NHA certification

Job description

Actalent is seeking a Fully Remote Certified Pharmacy Technician to evaluate Medicaid prior authorization requests in a high-volume call center. You will determine clinical appropriateness, document outcomes, and communicate decisions to healthcare professionals.

This remote, contract-based role offers structured training and potential extension or conversion after the initial term. Responsibilities include evaluating requests, documenting outcomes, explaining criteria, and escalating complex