Remote Pharmacy Technician: Formulary & Prior Authorization

Actalent; City of Albany (NY); Remote; USD 25,000 - 28,000; Full time

Job summary

Actalent is seeking a Pharmacy Technician to support multiple pharmacy operations, including formulary management, audit and recovery, Medicare Part D/B, and state health programs. You will review requests from physicians, pharmacies, and members, research issues, and collaborate with clinical pharmacists to ensure accurate, compliant, and timely processing of pharmacy-related requests.

This contract-to-hire position is based in Albany, NY, and requires residency in New York.

Qualifications

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

Responsibilities

• Review and process formulary change requests from health plans and submit updates to the pharmacy claims processor.
• Generate, maintain, and review formulary status grids for accuracy and contract compliance.
• Use reports to perform audits and quality checks on current formulary status.
• Assist clinical pharmacists with formulary database maintenance and website updates.
• Review paid claims for quantity and billing discrepancies and communicate findings to pharmacies.
• Take member inquiry calls regarding pharmacy benefits and prior authorizations.

Skills

Pharmacy technician experience

Formulary management

Prior authorization

Claims processing

Data entry

Attention to detail

Education

High school diploma or GED

Job description

Actalent is seeking a Pharmacy Technician to support multiple pharmacy operations, including formulary management, audit and recovery, Medicare Part D/B, and state health programs. You will review requests from physicians, pharmacies, and members, research issues, and collaborate with clinical pharmacists to ensure accurate, compliant, and timely processing of pharmacy-related requests.

This contract-to-hire position is based in Albany, NY, and requires residency in New York.