Remote Pharmacy Benefits & Prior Authorization Tech

Actalent; City of Syracuse (NY); Remote; USD 25,000 - 28,000; Full time

Benefits offered by this job

Medical benefits

401(k) retirement plan

Paid time off

Job summary

Actalent is seeking a Pharmacy Technician in New York, with a must-reside requirement in NY. The role supports formulary management, prior authorization, and Medicare Part D/B operations, collaborating with clinical pharmacists to ensure accurate and timely processing.

Responsibilities include audits, claims processing, and maintaining databases such as Access, with emphasis on regulatory compliance and member education about benefits and options.

Qualifications

• High school diploma or GED.
• At least 1 year of experience as a Pharmacy Technician.
• Experience with formulary management, prior authorization, or claims processing.
• Strong data entry skills and attention to detail.
• Ability to review and process prescription drug and pharmacy benefit requests.

Responsibilities

• Review and process formulary change requests and submit updates to the claims processor.
• Generate and review formulary status grids for accuracy and contract compliance.
• Assist clinical pharmacists with formulary database maintenance and updates to the company website.
• Review paid claims for quantity and billing discrepancies and communicate findings to pharmacies.
• Take member inquiries regarding pharmacy benefits and prior authorization requests.

Skills

Data entry

Adaptability

Verbal communication

Analytical skills

Education

Pharmacy Technician license

Tools

Access

Job description

Actalent is seeking a Pharmacy Technician in New York, with a must-reside requirement in NY. The role supports formulary management, prior authorization, and Medicare Part D/B operations, collaborating with clinical pharmacists to ensure accurate and timely processing.

Responsibilities include audits, claims processing, and maintaining databases such as Access, with emphasis on regulatory compliance and member education about benefits and options.