Pharmacy Technician

Job Title: Pharmacy TechnicianJob Description

Track and triage 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 for processing. Contact providers for additional information to facilitate coverage determination reviews. Notify physicians, providers, and members of coverage determination request decisions.

Hard Skills

Reviewing prior authorization requests

Making coverage decisions based on plan criteria

Documenting coverage determinations

Responding to client inquiries

Contacting providers for additional information

Soft Skills

Attention to detail

Effective communication

Time management

Problem-solving

Customer service

Job Type

This is a contract position with a duration of 3 Month(s).

Work Site

This is a fully remote position.

Work Environment

This position will be fully remote. Candidate will work remotely and can be nationally sourced but needs to be available during the shift time of Monday through Friday from 9:00am – 5:30pm CST. Dress code is business casual.

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.

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.