Remote Pharmacy Technician: Formulary & Claims Specialist

Actalent; New York (NY); Remoto; USD 25.000 - 28.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical insurance

Dental insurance

Vision insurance

401(k)

Descrizione del lavoro

Actalent is seeking a Pharmacy Technician to support multiple pharmacy operations areas, including formulary management, prior authorization, and claims processing. The role involves reviewing requests from physicians and pharmacies, researching issues, and collaborating with clinical pharmacists to ensure compliant, timely processing of pharmacy-related requests.

The position requires residency in New York and offers a contract-to-hire path.

Competenze

• High school diploma or GED required.
• 1 year of Pharmacy Technician experience.
• Experience with formulary management, prior authorization, or claims processing.
• Strong data entry skills and attention to detail.

Mansioni

• Review formulary change requests from health plans and update the pharmacy claims processor.
• Generate and review formulary status grids for accuracy and contract compliance.
• Perform audits and quality checks on current formulary status using reports.
• Assist pharmacists with formulary database maintenance and website updates.
• Review paid claims for quantity and billing discrepancies and communicate findings.

Conoscenze

Formulary management

Prior authorization

Claims processing

Data entry

Attention to detail

Formazione

High school diploma or GED

Strumenti

Access

Descrizione del lavoro

Actalent is seeking a Pharmacy Technician to support multiple pharmacy operations areas, including formulary management, prior authorization, and claims processing. The role involves reviewing requests from physicians and pharmacies, researching issues, and collaborating with clinical pharmacists to ensure compliant, timely processing of pharmacy-related requests.

The position requires residency in New York and offers a contract-to-hire path.