Pharmacy Technician

Pharmacy Technician - Fully Remote

MUST HAVE

• State license MUST HAVE (national nice to have)
  • VA, CA and NY license are NO GO

Job Description

As a Pharmacy Technician, you will be responsible for managing coverage determination requests from providers, ensuring that they are processed efficiently and accurately. You will play a crucial role in obtaining necessary authorizations and clinical information from prescribers, approving requests based on defined criteria, and entering decisions into the Pharmacy Benefit Management (PBM) system. Additionally, you will be the point of contact for client inquiries regarding authorization approvals and PBM online applications.

Responsibilities

• Track and triage coverage determination requests submitted from providers to determine if pharmacist review is required.
• 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/or 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

• Proficiency in pharmacy operations and data entry.
• Experience with prior authorization processes.
• Knowledge of retail pharmacy operations.
• Familiarity with Microsoft applications.
• Understanding of managed care and Medicare/Medicaid systems.

Additional Skills & Qualifications

• Experience with PBM systems is advantageous.
• Ability to work in a fast-paced environment with attention to detail.
• Excellent communication and organizational skills.

Work Environment

The role operates within a professional pharmacy setting where attention to detail and excellent communication are crucial. The position may involve working with various technologies and requires adherence to industry regulations and standards.

This is a Contract to Hire position based out of Houston, TX.

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)

This is a fully remote position.

This position is anticipated to close on Feb 5, 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 due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.