Pharmacy Technician - REMOTE

What's In It For You

• REMOTE position
• Opportunity to grow within managed care
• Gain experience working with prior authorizations

Requirements

• State or National Pharmacy Technician license or National Certification
• High School diploma or equivalent
• At least 1 year of experience in a retail, hospital, or mail order pharmacy setting
• Active State or National Pharmacy Technician license
• Experience working in a mail order pharmacy or retail pharmacy environment
• Strong verbal communication skills for obtaining authorizations and clinical details from prescribers
• Ability to interpret and apply defined criteria for coverage determinations and prior authorizations

Job Description

The Pharmacy Technician supports coverage determination and prior authorization activities for Medicare Part D recipients by reviewing requests, gathering clinical information, and documenting decisions in the pharmacy benefit management system. This role works closely with prescribers, providers, and members to ensure timely and accurate processing of coverage determinations while providing clear communication and support throughout the authorization process.

• Track and triage all coverage determination requests for prior authorizations.
• Review coverage determination requests submitted by providers and determine when a pharmacist review is required.
• Obtain verbal authorizations from prescribers and request detailed clinical information to support coverage decisions.
• Average coverage determination requests and determine when a pharmacist review is required.
• Approve coverage determination requests based on defined clinical and plan criteria.
• Enter and document coverage determination decisions accurately in the pharmacy benefit management (PBM) system.
• Notify providers and members of coverage determination outcomes in a clear and timely manner.
• Respond to client inquiries regarding authorization approvals and the use of PBM online applications.
• Refer coverage determination requests for specialty medications to the appropriate delegated vendor or client for processing.
• Contact providers to obtain additional information needed to complete coverage determination reviews.
• Communicate coverage determination decisions to physicians, providers, and members, ensuring they understand the outcome and next steps.

Essential Skills

• Active State or National Pharmacy Technician license
• Pharmacy technician certificate or equivalent credential
• Strong verbal communication skills for obtaining authorizations and clinical details from prescribers
• Ability to interpret and apply defined criteria for coverage determinations and prior authorizations

Work Environment

This position operates in a professional pharmacy or pharmacy benefit management environment that relies heavily on computer-based systems and data entry. You will spend most of your time working at a workstation using PBM and related software to process coverage determination requests. The role typically follows structured hours aligned with business operations, with a focus on timely response to provider, member, and client inquiries. The environment emphasizes accuracy, confidentiality, and adherence to regulatory and internal policies. Professional attire appropriate for an office or clinical support setting is expected.

Job Type & Location

This is a Contract to Hire position based out of Houston, TX.

Pay And Benefits

The pay range for this position is $20.00 - $23.00/hr.

Requirements

• 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)

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 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 actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.