Remote Pharmacy Technician – Insurance & Coverage Determination Specialist

Location: Remote (U.S. Based)

Job Type: Full-Time

Schedule: Monday–Friday, Rotating Weekends

Compensation: Competitive, based on experience

About the Role

We are seeking a detail-oriented and tech-savvy Pharmacy Technician to join our remote team. In this role, you will be responsible for handling insurance claims, processing prior authorizations, and making coverage determinations. You’ll work independently from your own space, but as part of a collaborative and mission-driven team dedicated to improving patient access to medications.

Key ResponsibilitiesProcess and follow up on insurance claims and prior authorizationsEvaluate and make coverage determinations based on insurance guidelinesCommunicate with healthcare providers, insurance companies, and patients as neededMaintain accurate and up-to-date records in electronic systemsEnsure compliance with HIPAA and other regulatory standardsRequirementsHigh School Diploma or equivalent(required)Registered Pharmacy Technician in the state you reside inCertified Pharmacy Technician (CPhT) preferred but not required1+ year of experience in a pharmacy or healthcare insurance settingStrong understanding of insurance processes and prior authorization workflowsExcellent computer skills and ability to navigate multiple systemsReliable high-speed internet and a quiet, professional remote workspaceStrong attention to detail and organizational skillsWhat We Offer100%remote work flexibilitySupportive and inclusive team cultureOpportunities for growth and development

Pay and Benefits

The pay range for this position is $18.00 - $20.00/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 Jul 25, 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 for other accommodation options.