Remote Pharmacy Technician

Actalent; Tempe (AZ); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading staffing firm is seeking a dedicated Remote Pharmacy Technician who will support Medicare and Medicaid patients by managing prior authorizations. The role includes intake processing and technical reviews to determine coverage eligibility. Candidates should possess a pharmacy technician certification and prior experience in managed care. This is a fully remote position with a competitive hourly wage ranging from $20.00 to $22.00.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Employee Assistance Program

Paid Time Off

Qualifications

• Must be certified as a pharmacy technician.
• Experience in claims processing is a must.
• Exhibit strong proficiency in data entry and computer skills.

Responsibilities

• Handle intake of prior authorization requests.
• Conduct technical reviews to determine coverage eligibility.
• Approve or deny medication coverage based on criteria.

Skills

Pharmacy technician certification

Prior experience in managed care

Proficient in data entry

Strong customer service skills

Job description

Job Title: Remote Pharmacy Technician

Job Description

We are seeking a dedicated Pharmacy Technician to join our team, focusing on supporting Medicare and Medicaid patients through the prior authorization process. This role involves two primary functions: intake and technical review. Initially, you will manage the intake of prior authorizations, setting up cases in our system before forwarding them for review. You'll also receive training for tech review, where you'll assess coverage criteria, approve or deny authorizations, and make clinical determinations based on insurance and medical documents.

Responsibilities

• Handle intake of prior authorization requests, setting up cases in the system.

• Conduct technical reviews to determine coverage eligibility.

• Approve or deny medication coverage based on clinical criteria.

• Read and interpret criteria, SOPs, insurance documents, and medical records.

• Provide excellent customer service and manage communications effectively.

• Work independently and remotely, ensuring HIPAA compliance.

Essential Skills

• Pharmacy technician certification.

• Prior experience in managed care and claims processing.

• Proficient in data entry and computer skills.

• Ability to work remotely and independently.

• Strong customer service skills.

Additional Skills & Qualifications

• Experience handling customer service calls.

• Ability to control and redirect conversations as needed.

Work Environment

This position is 100% remote, requiring a closed-door setting with limited distractions and HIPAA compliance. A strong WiFi connection is essential for remote work.

Pay and Benefits

The pay range for this position is $20.00 - $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 Aug 21, 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.