Prior Authorization Pharmacy Technician (Remote)

Responsibilities

• 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.
• Affiliate with inbound and/or outbound patient or physician calls, if needed.

Essential Skills

• 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.

Additional Skills & Qualifications

• 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.

Work Environment

• 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.

Job Type & Location

This is a Contract to Hire position based out of Evansville, IN.

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.

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.

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.