REMOTE Pharmacy Technician

Lensa; San Diego (CA); Remote; Full time

Job summary

A leading healthcare provider is seeking a remote Pharmacy Technician to manage coverage determination requests. This dynamic role requires strong communication skills and pharmacy technician certification to facilitate authorizations and maintain documentation. Join a supportive team where you can make a significant impact on patient care.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Short and long-term disability

Employee Assistance Program

Paid Time Off (PTO)

Qualifications

• 1+ years of retail, hospital, or mail order pharmacy experience.
• Current state Pharmacy Technician license preferred.

Responsibilities

• Track and triage coverage determination requests from providers.
• Determine if a pharmacist review is required.
• Notify providers and/or members of request decisions.

Skills

Pharmacy technician certification

Experience in pharmacy (retail, hospital, or mail order)

Education

High school diploma or equivalent

Job description

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Job Description

As a Pharmacy Technician, you will track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required. You will also obtain verbal authorizations and request detailed clinical information from prescribers, approve coverage determination requests based on defined criteria, and enter and document coverage determination request decisions into the PBM system. Additionally, you will notify providers and/or members, respond to client inquiries regarding authorization approvals and PBM online applications, and refer coverage determination requests for specialty drugs to delegated vendors or clients for processing. You will also contact providers for additional information to facilitate coverage determination reviews and notify physicians, providers, and members of coverage determination request decisions.

Responsibilities

• Track and triage coverage determination requests submitted from providers.
• Determine if a pharmacist review is required.
• Obtain verbal authorizations and request detailed clinical information from prescribers.
• Approve coverage determination requests based on defined criteria.
• Enter and document coverage determination request decisions into the PBM system.
• Notify providers and/or members of coverage determination request decisions.
• Respond to client inquiries regarding authorization approvals and PBM online applications.
• Refer coverage determination requests for specialty drugs to delegated vendors or clients for processing.
• Contact providers for additional information to facilitate coverage determination reviews.
• Notify physicians, providers, and members of coverage determination request decisions.
  
  

Essential Skills

• Pharmacy technician certification.
• Experience in pharmacy (retail, hospital, or mail order).
  
  

Additional Skills & Qualifications

• High school diploma or equivalent.
• 1+ years of retail, hospital, or mail order pharmacy experience.
• Current state Pharmacy Technician license and National Certification from Pharmacy Technician Certification Board preferred.
  
  

Work Environment

You will work in a dynamic environment, utilizing the PBM system and other relevant technologies to manage coverage determination requests. The role may involve regular communication with providers and clients to ensure proper authorization and processing of requests.

If you're interested, APPLY NOW and EMAIL your updated resume to jkvigne @ actalentservices.com!

Pay and Benefits

The pay range for this position is $20.00 - $22.00/hr.

Requirements

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 Jul 2, 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 [e-mail] ([e-mail]) for other accommodation options.

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

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