Remote Pharmacy Technician

Actalent

Miami (FL)

À distance

USD 28 000 - 32 000

Plein temps

Il y a 9 heures
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Avantages offerts par ce poste

Medical, dental & vision
401(k) Retirement Plan
Paid time off (PTO)
Disability insurance
Flexible/remote work

Résumé du poste

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.

Responsabilités

  • 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.

Connaissances

Data entry
Pharmacy operations
Certified Pharmacy Technician
Customer service
Prior Authorization processes

Formation

Certified Pharmacy Technician (Cpht)

Description du poste

Job Description

We are seeking a dedicated Pharmacy Technician to join our team in MedPharma. This role involves working primarily with Medicare and Medicaid patients to manage Prior Authorizations. You will begin with intake responsibilities and be trained to handle tech review tasks, ensuring medication coverage and eligibility.

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.
Essential Skills
  • 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.
Additional Skills & Qualifications
  • Experience in managed care and pharmacy operations.
  • Capability to provide customer service over the phone, manage calls, control conversations, and redirect as necessary.
  • Certified Pharmacy Technician (Cpht) preferred.
Work Environment
  • The position is 100% remote and requires a closed-door setting with limited distractions to ensure HIPAA compliance.
  • A strong WiFi connection is essential for remote work.
  • The training schedule is Monday to Friday, 10:00 AM to 6:30 PM EST.
  • Post-training, you can choose between a Sunday-Thursday schedule (preferred 12:00-8:30 PM or 12:30-9:00 PM EST) or a Tuesday-Saturday schedule (preferred 12:30-9:00 PM EST).
  • The work culture boasts a 90% cultural score internally, offering holiday benefits, PTO, flexibility, and other benefits
Job Type & Location

This is a Contract to Hire position based out of Miami, FL.

Pay And Benefits

The pay range for this position is $20.00 - $23.00/hr.
Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.
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)

Application Deadline

This position is anticipated to close on Nov 11, 2026.

Workplace Type

This is a fully remote position.

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 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.
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 process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance:

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector:

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI):

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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