Remote Pharmacy Technician: Prior Authorization

Actalent; Las Vegas (NV); Remote; USD 42,000 - 48,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Short and long-term disability

HSA

PTO / Vacation

Remote work

Job summary

Actalent is seeking a Pharmacy Technician for a fully remote role operating in the EST timezone. The primary task is reviewing Prior Authorizations for coverage decisions within a Pharmacy Services team for a large healthcare insurer.

The position involves minimal phone work, with responsibilities including approvals, PBM entry, and communication with providers and members. Requires pharmacy credentials, computer skills, and experience in PBM systems.

Qualifications

• High School diploma or GED.
• State registration and required pharmacy certification.
• Experience with Prior Authorization processes.
• PTCB and/or NHA certification.

Responsibilities

• Review and track coverage determination requests.
• Obtain verbal authorizations and approve requests based on criteria.
• Enter decisions into PBM system and notify providers and members.
• Respond to client inquiries and refer requests for specialty drugs.
• Contact providers for additional information and notify stakeholders of outcomes.
• Assist with inbound/outbound calls when necessary.

Skills

Strong computer skills

Data entry

Prior Authorization processes

PBM systems

Call center experience

Education

High School diploma or GED

Current Pharmacy Registration and Certification

PTCB certification

NHA certification

Tools

Microsoft Office

PBM systems

Job description

Actalent is seeking a Pharmacy Technician for a fully remote role operating in the EST timezone. The primary task is reviewing Prior Authorizations for coverage decisions within a Pharmacy Services team for a large healthcare insurer.

The position involves minimal phone work, with responsibilities including approvals, PBM entry, and communication with providers and members. Requires pharmacy credentials, computer skills, and experience in PBM systems.