Remote Prior Authorization Pharmacy Tech – Specialist

ACTalent; Tucson (AZ); Remote; USD 28,000 - 30,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Short and long-term disability

HSA

Paid time off

Transportation benefits

Employee Assistance Program

Job summary

Actalent is seeking a dedicated Pharmacy Technician to work with Medicare and Medicaid patients, primarily focusing on prior authorizations in a fully remote MedPharm environment. This contract-to-hire position is based out of Tucson, AZ, with training hours and shift patterns outlined.

The role emphasizes intake, technical review, and patient support while ensuring HIPAA compliance. Responsibilities include processing PA cases, reviewing coverage decisions, and communicating outcomes to

Qualifications

• Pharmacy Technician certification required.
• Experience in data entry and managed care.
• Prior Authorization processing experience.
• Proficient in customer service and handling claims.
• Strong computer skills.
• Ability to work independently and remotely.

Responsibilities

• Handle the intake of MedPharm prior authorizations, setting them up in the system and forwarding to the review technician.
• Conduct Tech Review by receiving PA cases from the intake team and reviewing them to determine coverage.
• Approve or deny medications based on clinical determinations and eligibility criteria.
• Read and interpret criteria, SOPs, insurance documents, and medical documents to make informed decisions.
• Provide excellent customer service over the phone, managing conversations and redirecting when necessary.

Skills

Pharmacy tech cert

Data entry

Prior Authorization

Customer service

Computer skills

Remote work

Job description

Actalent is seeking a dedicated Pharmacy Technician to work with Medicare and Medicaid patients, primarily focusing on prior authorizations in a fully remote MedPharm environment. This contract-to-hire position is based out of Tucson, AZ, with training hours and shift patterns outlined.

The role emphasizes intake, technical review, and patient support while ensuring HIPAA compliance. Responsibilities include processing PA cases, reviewing coverage decisions, and communicating outcomes to