Remote Pharmacy Technician

Job Title: Pharmacy TechnicianJob Description

As a Pharmacy Technician, you will be responsible for managing and processing coverage determination requests from healthcare providers. You will need to evaluate these requests and determine if pharmacist intervention is necessary. Your role will involve obtaining verbal authorizations, requesting detailed clinical information, and approving requests based on set criteria. Additionally, you will document decisions in the PBM system and communicate outcomes to providers and members.

Responsibilities

+ Track and triage coverage determination requests submitted by providers.

+ Determine if pharmacist review is needed.

+ 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.

+ Notify providers and/or members of coverage determination decisions.

+ Respond to client inquiries regarding authorization approvals and PBM online applications.

+ Refer requests for specialty drugs to delegated vendors or clients for processing.

+ Contact providers for additional information to facilitate reviews.

+ Notify physicians, providers, and members of request decisions.

Essential Skills

+ Prior authorization

+ Data entry

+ Pharmacy experience

+ Customer service

+ Pharmacy technician license

+ Computer skills

Additional Skills & Qualifications

+ Proficiency in Microsoft applications

+ Experience with managed care

+ Knowledge of Medicare/Medicaid

Work Environment

This position offers a 100% remote work environment. The start time is flexible, ranging from as early as 8am EST to no later than 10am EST, with a one-hour lunch break. Training will occur from 10am to 6:30pm EST, Monday through Friday, with a 30-minute unpaid lunch. The role includes rotating weekends every 4-6 weeks.

Job Type & Location

This is a Contract to Hire position based out of Atlanta, GA.

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 Dec 18, 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.