Certified Pharmacy Technician

Pharmacy Technician

Job Description

These Technicians review Prior Authorizations for determination for a department that is part of a large healthcare insurance company. Responsibilities include approving or denying authorizations and then sending them to a Pharmacist for final review. Technicians handle all health plans and types of medications, with minimal phone work involving inbound calls from members.

Key Responsibilities:

– Track coverage determination requests submitted by providers and decide 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 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 a delegated vendor or client for processing.

– Contact providers for additional information to facilitate coverage determination reviews.

– Notify physicians, providers, and members of coverage determination request decisions.

Education/Experience:

– High School diploma.

– Current Pharmacy Registration and Certification as required by the state of operation.

– Basic computer skills.

Hard Skills

Certified Pharmacy Technician

Registered pharmacy technician

Basic computer skills

Job Type

This is a Contract-to-Hire position with a duration of 6 Month(s).

Work Site

This is a fully remote position.

Interested parties can send updated resumes to: jgasser @ actalentservices.comAbout 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.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

Hiring diverse talent

Maintaining an inclusive environment through persistent self-reflection

Building a culture of care, engagement, and recognition with clear outcomes

Ensuring growth opportunities for our people

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 (%20actalentaccommodation@actalentservices.com) for other accommodation options.