Remote Prior-Authorization Pharmacy Technician

Actalent; Orlando (FL); Remote; USD 25,000 - 30,000; Full time

Job summary

Actalent is seeking a Certified Pharmacy Technician for a 100% remote contract position based in Orlando, FL. The role entails evaluating and authorizing commercial prior authorization requests, communicating decisions to prescribers, and documenting outcomes in the pharmacy system.

Qualified candidates have a pharmacy technician license and national certification (PTCB or NHA), 1+ year of retail or call center pharmacy experience, and strong communication skills.

Qualifications

• Pharmacy technician license and national certification (PTCB or NHA) required.
• High School Diploma or GED required.
• 1+ years of experience in retail or call center pharmacy environment (3+ years ideally).
• Strong medical/health literacy and written and verbal communication skills.
• Excellent attention to detail and organizational skills.
• Comfortable navigating multiple computer systems.
• Ability to work independently in a fast-paced, remote environment.

Responsibilities

• Evaluate and authorize commercial prior authorization pharmacy requests from prescribers received by telephone.
• Determine appropriateness for medications and communicate decisions to physicians, physician office staff, medical management staff, and pharmacists.
• Document prior authorization outcomes in the pharmacy system.
• Communicate selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives.
• Escalate requests to Pharmacist for extensive clinical review or denial.
• Document physician or client inquiries and grievances, providing verbal or written results.
• Work in the fax queue, clinically reviewing coverage determinations for medications.
• Efficiently multitask and monitor several queues and assignments, adapting to team requirements.

Skills

Pharmacy license

1+ year pharmacy experience

Communication skills

Attention to detail

Multi-system navigation

Independent worker

Education

High School Diploma or GED

Job description

Actalent is seeking a Certified Pharmacy Technician for a 100% remote contract position based in Orlando, FL. The role entails evaluating and authorizing commercial prior authorization requests, communicating decisions to prescribers, and documenting outcomes in the pharmacy system.

Qualified candidates have a pharmacy technician license and national certification (PTCB or NHA), 1+ year of retail or call center pharmacy experience, and strong communication skills.