Prior Authorization Pharmacy Technician Remote 21

Remote Pharmacy Technician

As a Pharmacy Technician, you will play a crucial role in reviewing Prior Authorizations for coverage determination within a Pharmacy Services department at a large healthcare insurance company.

Your responsibilities include approving or denying requests and forwarding them to a Pharmacist for final review.

The role involves handling all health plans and various types of medications with minimal phone work, primarily outbound calls.

+ Track coverage determination requests and obtain verbal authorizations.

+ Approve requests based on established criteria.

+ Enter decisions into the Pharmacy Benefit Management (PBM) system.

+ Notify providers and members of decision outcomes.

+ Respond to client inquiries and refer requests for specialty drugs.

+ Contact providers for additional information.

+ Notify stakeholders of decision outcomes.

+ Assist with inbound and/or outbound patient or physician calls, if needed.

+ High School diploma or equivalent.

+ Current Pharmacy Registration and Certification as required by the state of operation.

+ Strong computer skills including proficiency in Microsoft Office and data entry.

+ Experience with prior authorization, Medicare, and Medicaid.

+ National certification as a Pharmacy Technician (NHA, PTCB).

+ Experience in retail pharmacy, call center, hospital, or specialty pharmacy settings.

+ Registered and certified pharmacy technician status.

This is a professional remote environment where you will work across multiple screens and systems.

You must have strong Wi-Fi and a dedicated office space with a closed door.

The work schedule requires flexibility, with availability Monday through Friday from 8am to 8pm in your local time zone, and rotating weekends every 4-6 weeks.

Some holiday work is required, with schedules sent three months in advance.

Equipment such as a computer, monitor, and headset will be provided.

Training will occur from 10am to 6:

30pm EST, after which you will transition to your regular shift.

This is a Contract to Hire position based out of Tucson, AZ.

The pay range for this position is $20.00 $23.00/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)

This is a fully remote position.

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 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service.

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 *** for other accommodation options.