1 to 3 years
This role is STARs-friendly: Skilled Through Alternative Routes.
73% STARs in role.
Job Title: Remote Pharmacy Technician
We Are Hiring For A 100% REMOTE Pharmacy Technician!
Leading healthcare company is looking for a certified pharmacy technician to join their team! REMOTE OPPORTUNITY!
WHAT'S IN IT FOR YOU:
- REMOTE position
- Opportunity to grow within managed care
- Gain experience working with Appeals
REQUIREMENTS:
- 1-3 years of experience as a Pharmacy Technician
- Schedule is Monday-Friday, 10am-6:30pm *your time zone*
- HS diploma
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
- Track and triage all coverage determination requests submitted from providers and determine if a 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 decision into the PBM system and notify providers and/or members.
- Respond to client inquiries regarding authorization approvals and PBM on-line applications.
- Refer coverage determination requests for specialty drugs to delegated vendor or client processing.
- Contact providers for additional information to facilitate coverage determination reviews.
- Notify physicians, providers, and members of coverage determination request decisions.
Essential Skills
- Pharmacy technician certificate or equivalent credential.
- At least 1 year of experience in a retail, hospital, or mail order pharmacy setting.
- High school diploma or equivalent.
- Experience working in a mail order pharmacy or retail pharmacy environment.
- Ability to accurately document information and decisions in a PBM or similar system.
- Strong verbal communication skills for obtaining authorizations and clinical details from prescribers.
- Ability to interpret and apply defined criteria for coverage determinations and prior authorizations.
INTERESTED IN THIS ROLE? SEE BELOW TO BE IMMEDIATELY CONSIDERED:
- I am scheduling phone interviews as early as today. All candidates will be considered immediately within 24 hours of applying directly to Fathima
- HOW TO APPLY DIRECTLY: Email your updated resume, brief intro about your interest, preferred method of communication for you (i.e., call, email, text) to fam@actalentservices.com or CALL- 904 530 5415
Job Type & Location
This is a Contract to Hire position based out of Houston, TX.
Pay and BenefitsThe pay range for this position is $18.00 - $20.00/hr.
Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.
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 TypeThis is a fully remote position.
Application DeadlineThis position is anticipated to close on Aug 28, 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 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.
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 actalentaccommodation@actalentservices.com 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.
Posting ID: JP-006230931