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A healthcare services company is seeking a Remote Pharmacy Technician responsible for reviewing prior authorizations for a large healthcare insurance company. Candidates should be registered pharmacy technicians with strong computer skills and the ability to manage client inquiries. The position offers a competitive pay range of $18.00 - $22.00/hr and includes various benefits such as medical, dental, and 401(k) plans. This is a fully remote position.
Remote Pharmacy Technician
Job Description
We are seeking dedicated pharmacy technicians to join our remote team, responsible for reviewing prior authorizations for coverage determination within a large healthcare insurance company. Technicians will determine approval or denial decisions, which will then be sent to pharmacists for final review. The role involves handling Medicare and various medication types, with minimal phone work required.
Responsibilities
Review and track coverage determination requests.
Approve requests based on established criteria and enter decisions into the PBM system.
Notify providers and members of decision outcomes.
Respond to client inquiries and refer requests for specialty drugs as necessary.
Obtain verbal authorizations and request detailed clinical information from prescribers.
Assist with patient or physician calls as needed.
Essential Skills
Registered pharmacy technician in the state of residence.
High School Diploma or GED.
Strong computer skills.
Current Pharmacy Registration and Certification as required by the state.
Experience with prior authorization and pharmacy services.
Basic data entry and customer service skills.
Additional Skills & Qualifications
Experience with Microsoft Office and Outlook.
Familiarity with Medicare, Medicaid, and insurance processes.
Pharmacy Technician Certification Board (PTCB) or National Healthcareer Association (NHA) certification.
Experience in retail pharmacy, call centers, PBM, hospital, or specialty pharmacy settings.
Pay and Benefits
The pay range for this position is $18.00 - $22.00/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 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 Oct 14, 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 actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.