Remote Pharmacy Tech — Prior Authorization Expert

Actalent; Miami (FL); Remote; USD 28,000 - 32,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Paid time off (PTO)

Disability insurance

Flexible/remote work

Job summary

Actalent is seeking a dedicated Pharmacy Technician to join our MedPharma team in a fully remote role based out of Miami, FL. You will handle intake for prior authorizations, review cases for coverage, and make determinations on medication approvals following SOPs and payer guidelines.

The position emphasizes HIPAA compliance, strong data entry, and customer service skills, with training to perform tech review tasks and remote work capabilities.

Qualifications

• Proficiency in data entry and pharmacy operations.
• Pharmacy technician certification with experience in managed care and claims.
• Strong customer service skills and the ability to work remotely and independently.
• Computer skills and familiarity with Prior Authorization processes.

Responsibilities

• Handle the intake of MedPharma prior authorizations, setting up PAs in the system and forwarding them to review technicians.
• Conduct tech reviews by receiving PA cases from the intake team and assessing them for coverage.
• Approve or deny medications based on criteria, SOPs, insurance documents, and medical documents.
• Make clinical determinations regarding medication approval or denial and coverage capacity.

Skills

Data entry

Pharmacy operations

Certified Pharmacy Technician

Customer service

Prior Authorization processes

Education

Certified Pharmacy Technician (Cpht)

Job description

Actalent is seeking a dedicated Pharmacy Technician to join our MedPharma team in a fully remote role based out of Miami, FL. You will handle intake for prior authorizations, review cases for coverage, and make determinations on medication approvals following SOPs and payer guidelines.

The position emphasizes HIPAA compliance, strong data entry, and customer service skills, with training to perform tech review tasks and remote work capabilities.