Remote Pharmacy Technician 1 Job Description We are seeking a dedicated Pharmacy Technician to effectively manage and triage all coverage determination requests for prior authorizations and Medicare Part D recipients. This role is pivotal in ensuring that coverage determinations are processed accurately and efficiently. Responsibilities + Track and triage coverage determination requests submitted by providers and assess the need for pharmacist review. + Obtain verbal authorizations and request detailed clinical information from prescribers. + Approve coverage determination requests based on defined criteria. + Enter and document coverage determination request decisions into the PBM system and notify providers and members. + Respond to client inquiries regarding authorization approvals and PBM online applications. + Refer coverage determination requests for specialty drugs to delegated vendors or clients 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 equivalent. + 1+ years of experience in retail, hospital, or mail-order pharmacy. + Current state Pharmacy Technician license. Additional Skills & Qualifications + National Certification from Pharmacy Technician Certification Board (CPhT) preferred. + Experience with prior authorization and Medicare. + Familiarity with pharmacy benefits systems (PBS system) is a significant advantage. Work Environment This role involves working in a dynamic pharmacy environment, requiring attention to detail and excellent communication skills. The position may involve engaging with various stakeholders including providers and members, utilizing PBM systems, and ensuring compliance with defined criteria for coverage determinations. Pay and Benefits The pay range for this position is $18.00 - $19.00/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 15, 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.