Summary: • You must be a registered pharmacy technician with current state certification, possess strong attention to detail and computer skills, and demonstrate good communication and independent work abilities. • You will review and process Prior Authorizations, resolve insurance issues, conduct outreach, and manage prescription data while collaborating with pharmacists and handling patient communications.

Job Title: Pharmacy Technician

Job Description

The Prior Authorization Team is hiring Pharmacy Technicians for a 100% remote opportunity, with a preference for candidates in the Mountain time zone. Technicians will review Prior Authorizations for determination for a department that is part of a large healthcare insurance company. Responsibilities include approving or denying PAs, sending some PAs to Pharmacists for final review, and handling all health plans and medication types. This is a computer-based role with little to no phone work. Process prescription exceptions, resolve claim rejects, and conduct member and physician outreach. Enter member demographics and prescription information into the data processing system. Research and resolve rejected insurance billing issues and/or escalated member issues. Escalate questions regarding prescriptions to a Pharmacist or provide direction on processing. Assist with inbound and/or outbound patient or physician calls.

Hard Skills • Registered pharmacy technician • Strong computer skills • Basic computer skills • Current Pharmacy Registration and Certification as required by state of operation

Soft Skills • Strong attention to detail • Ability to work independently • Good communication skills

Job Type

This is a Contract-to-Hire position with a duration of 6 Month(s).

Work Site

This is a fully remote position.

Work Environment

Professional remote environment. Must have strong Wi-Fi and own office space with a closed door. Monitored system activity with potential termination for long idle periods. Shift: Monday-Friday 8am-7pm in the local time zone, rotating weekends every 4-6 weeks, and holidays with a bid system for schedules. Lunch break is 30 minutes to an hour based on team/business needs. Training schedule: 10am-6:30pm EST. Post-training, regular shift applies. Must have Wi-Fi, workspace, and a smartphone. Equipment provided includes a computer, monitor, and headset.

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.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through: • Hiring diverse talent • Maintaining an inclusive environment through persistent self-reflection • Building a culture of care, engagement, and recognition with clear outcomes • Ensuring growth opportunities for our people

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 process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

Requirements: • Registered pharmacy technician • Strong computer skills • Basic computer skills • Current Pharmacy Registration and Certification as required by state of operation • Strong attention to detail • Ability to work independently • Good communication skills

Responsibilities: • - Review Prior Authorizations for determination for a department that is part of a large healthcare insurance company • - Approve or deny PAs • - Send some PAs to Pharmacists for final review • - Handle all health plans and medication types • - Process prescription exceptions • - Resolve claim rejects • - Conduct member and physician outreach • - Enter member demographics and prescription information into the data processing system • - Research and resolve rejected insurance billing issues and/or escalated member issues • - Escalate questions regarding prescriptions to a Pharmacist or provide direction on processing • - Assist with inbound and/or outbound patient or physician calls Apply Job!