Pharmacy Technician - Prior Authorizations

Job Description We are seeking dedicated Pharmacy Technicians to join our team. As a Pharmacy Technician, you will play a crucial role in reviewing Prior Authorizations for coverage determination. You will be responsible for approving or denying requests and sending them to a Pharmacist for final review. This role involves handling all health plans and types of medications, with minimal phone work, primarily outbound calls. Responsibilities • Track coverage determination requests. • Obtain verbal authorizations and request detailed clinical information from prescribers. • Approve or deny requests based on criteria and enter decisions into the PBM system. • Notify providers and members of decision outcomes. • Respond to client inquiries and refer requests for specialty drugs. • Contact providers for additional information as needed. • Assist with inbound and/or outbound patient or physician calls if required. Essential Skills • High School diploma or GED. • Current Pharmacy Registration and Certification as required by the state of operation. • Strong computer skills. • Experience with Prior Authorization processes. • Proficiency in Microsoft Office, including Outlook. • Data entry skills. • Customer service experience. • Registered Pharmacy Technician status. • Certified Pharmacy Technician (CPhT) certification. • Experience with Medicare, Medicaid, and insurance-related processes. Qualifications • National Health career Association (NHA) certification. • Experience in retail pharmacy, hospital, or specialty pharmacy settings. • Experience in a call center environment. • Experience with Prescription Benefit Management (PBM). Pay and Benefits The pay range for this position is $18.00 - $22.00/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 Oct 16, 2025. 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 [email protected] for other accommodation options. Apply tot his job