Job Title: Pharmacy Technician Job Description Join a dynamic team as a Pharmacy Technician responsible for reviewing Prior Authorizations within a Pharmacy Services department of a large healthcare insurance company. Your role will involve approving or denying authorizations and forwarding them to pharmacists for final review. You will manage various health plans and medications with minimal phone interaction required. Responsibilities + Track coverage determination requests submitted by providers and assess if pharmacist review is needed. + Obtain verbal authorizations and request detailed clinical information from prescribers. + Approve coverage determination requests based on established criteria. + Enter and document coverage determination request decisions in the PBM system and notify providers and/or members. + Respond to client inquiries regarding authorization approvals and PBM online applications. + Refer coverage determination requests for specialty drugs to the delegated vendor or client for processing. + Contact providers for additional information to facilitate coverage determination reviews. + Notify physicians, providers, and members of coverage determination request decisions. Essential Skills + High School diploma or GED. + Current Pharmacy Registration and Certification as required by the state of operation. + Basic computer skills. + Experience with prior authorization processes. + Proficiency in Microsoft Office, including Outlook. + Registered Pharmacy Technician status. Additional Skills & Qualifications + Nationally Certified Technician status is a plus and required for some supervisory roles. + Strong computer skills and customer service skills. + Experience in call center, PBM, hospital, or specialty pharmacy settings. + Understanding of prescription benefits. + Certified Pharmacy Technician (CPhT) and NHA credentials are beneficial. Work Environment This is a remote position in a professional environment, requiring strong WiFi and a dedicated office space with a closed door. You will work on multiple screens and systems. Equipment such as a computer, monitor, and headset will be provided. The position requires availability Monday through Friday from 8 am to 7 pm in your time zone, with rotating weekends approximately every 4-6 weeks and some holidays. Training is scheduled from 10 am to 6:30 pm EST. Overtime is not required but may be offered occasionally. Job Type & Location Remote Pay and Benefits The pay range for this position is $18.00 - $22.00/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 Aug 29, 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 (%20actalentaccommodation@actalentservices.com) for other accommodation options.