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Actalent is Hiring a Team of Work from Home Pharmacy Technicians!!
Job Description
As a Pharmacy Technician, you will be responsible for reviewing Prior Authorizations within the Pharmacy Services department of a large healthcare insurance company. Your primary task will be to approve or deny authorizations and forward them to a Pharmacist for final review, while handling all health plans and medication types.
Responsibilities
- Process prescription exceptions, including resolving claim rejects and conducting member and physician outreach.
- Enter member demographics and prescription information into the data processing system.
- Research and resolve rejected insurance billing issues and escalated member issues.
- Escalate questions regarding prescriptions to a Pharmacist for interpretation or provide direction on processing.
- Assist with inbound and outbound patient or physician calls.
Essential Skills
- High School diploma or GED.
- Current Pharmacy Registration and Certification as required by the state of operation.
- Strong computer skills, including proficiency in Microsoft Office and Outlook.
- Nationally Certified Technician and registered pharmacy technician in the state of residence.
Additional Skills & Qualifications
- Pharmacy technician license.
- PTCB or NHA certification.
- Experience in call center, PBM, hospital, or specialty pharmacy settings.
Work Environment
The position is in a professional remote environment, requiring strong WiFi and a dedicated office space with a closed door. You will work with multiple screens and systems, with equipment including a computer, monitor, and headset provided. The shift requires availability Monday to Friday from 8 AM to 8 PM in the local time zone, with rotating weekends every 4-6 weeks and occasional holiday work. Training will be conducted from 10 AM to 6:30 PM EST, after which shifts will start at 8 AM, 9 AM, or 10 AM in your local time zone.
Pay and Benefits
The pay range for this position is $18.00 - $20.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
Available For This Temporary Role May Include The Following
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Jul 10, 2025.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
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