We are hiring for a 100% REMOTE Pharmacy Technician ASAP!
Leading healthcare company is looking for a certified pharmacy technician to join their team! REMOTE OPPORTUNITY! State Pharmacy Technician license from any state OR PTCB certification required.
WHAT'S IN IT FOR YOU:
REQUIREMENTS
Job Description
The Pharmacy Technician supports coverage determination and prior authorization activities for Medicare Part D recipients by reviewing requests, gathering clinical information, and documenting decisions in the pharmacy benefit management system. This role works closely with prescribers, providers, and members to ensure timely and accurate processing of coverage determinations while providing clear communication and support throughout the authorization process.
Responsibilities
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Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients.
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Review coverage determination requests submitted by providers and determine when a pharmacist review is required.
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Obtain verbal authorizations from prescribers and request detailed clinical information to support coverage decisions.
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Approve coverage determination requests based on defined clinical and plan criteria.
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Enter and document coverage determination decisions accurately in the pharmacy benefit management (PBM) system.
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Notify providers and members of coverage determination outcomes in a clear and timely manner.
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Respond to client inquiries regarding authorization approvals and the use of PBM online applications.
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Refer coverage determination requests for specialty medications to the appropriate delegated vendor or client for processing.
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Contact providers to obtain additional information needed to complete coverage determination reviews.
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Communicate coverage determination decisions to physicians, providers, and members, ensuring they understand the outcome and next steps.
Essential Skills
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Active State Pharmacy Technician license.
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Pharmacy technician certificate or equivalent credential.
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At least 1 year of experience in a retail, hospital, or mail order pharmacy setting.
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High school diploma or equivalent.
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Experience working in a mail order pharmacy or retail pharmacy environment.
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Ability to accurately document information and decisions in a PBM or similar system.
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Strong verbal communication skills for obtaining authorizations and clinical details from prescribers.
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Ability to interpret and apply defined criteria for coverage determinations and prior authorizations.
Additional Skills & Qualifications
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Experience supporting Medicare Part D coverage determinations and prior authorizations.
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Familiarity with PBM online applications and related authorization workflows.
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Strong attention to detail and ability to manage multiple coverage requests simultaneously.
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Comfort working independently in a remote environment while meeting performance and quality expectations.
Job Type & Location
This is a Contract position based out of Dallas, TX.
Pay and Benefits
The pay range for this position is $20.00 - $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 May 29, 2026.
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 process due to a disability, please email ~~~ for other accommodation options.
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.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.
