Remote Pharmacy Technician – Customer Care & Prior Authorization Specialist (1‑Year Temporary W‑2 Position, Fully Remote)

Why Join Our Team? At NTT DATA Services , we are more than a global leader in IT and business solutions—we are a community of innovators, problem‑solvers, and compassionate professionals who help shape the future of healthcare delivery. As part of the broader NTT DATA family, a $30 billion enterprise operating in over 80 countries, we blend cutting‑edge technology with deep industry expertise to transform the way patients, providers, and insurers interact. Our Remote Pharmacy Technician role sits at the heart of this transformation. You will serve as a trusted voice for members, providers, and pharmacy teams, guiding them through the complex prior‑authorization landscape while delivering a superior, human‑centered experience. If you thrive in a fast‑paced call‑center environment, have a passion for healthcare, and value flexibility, this is the perfect opportunity to grow your career—while working from the comfort of your home. Position Overview Job Title: Remote Pharmacy Technician – Customer Care & Prior Authorization Specialist Employment Type: Temporary (1‑year) W‑2 Location: 100 % Remote (U.S. residents only) Compensation: Competitive hourly rate ranging from $19.00 to $21.20, with potential for performance‑based incentives Start Date: Immediate openings – start as soon as you’re ready Core Mission Your primary mission is to act as the first line of support for inbound inquiries related to pharmacy benefits, prior authorizations, and medication eligibility. You will leverage structured criteria, documented guidelines, and collaboration with pharmacists to ensure every call is resolved accurately, efficiently, and with empathy. Key Responsibilities Inbound Call Management: Answer a high volume of inbound calls from members, providers, and healthcare professionals, delivering clear, concise, and courteous assistance. Prior Authorization Processing: Review and apply criteria‑based prior‑authorization rules, documenting approvals or denials in real‑time. Clinical Escalation: Identify calls that require pharmacist expertise, document clinical questions, and seamlessly transfer to the appropriate clinical resource. Accurate Documentation: Maintain detailed, timely, and compliant records of every interaction, ensuring audit readiness and data integrity. Regulatory Adherence: Follow HIPAA, CMS, and other applicable regulations to protect member privacy and maintain confidentiality. Quality Assurance: Participate in call monitoring, feedback sessions, and continuous improvement initiatives to uphold the highest service standards. Training Participation: Complete mandatory 6–8 weeks of video‑based training (8 AM–4:30 PM CT) and attend periodic refresher sessions. Shift Flexibility: Work assigned shifts between 7 AM–8 PM Central Time, with scheduling that balances personal and professional commitments. Collaboration: Partner closely with the pharmacy benefit management (PBM) team, quality analysts, and IT support to resolve system‑related issues. Feedback Loop: Provide actionable insights from member interactions to help refine prior‑authorization criteria and improve overall member experience. Essential Qualifications Customer Service Experience: Minimum of 1 year in a high‑volume call‑center environment, preferably within healthcare, insurance, or social services. Healthcare Knowledge: At least 1 year handling Medicare, Medicaid, or other health‑insurance related inquiries. Education: Verified high school diploma or GED; post‑secondary coursework in health administration or related fields is a plus. Technical Proficiency: Comfortable navigating multiple software platforms, electronic health record (EHR) portals, and telephone systems simultaneously. Communication Skills: Excellent verbal and written communication, with the ability to explain complex concepts clearly and empathetically. Attention to Detail: Strong organizational skills to ensure precise documentation and adherence to regulatory guidelines. Eligibility: Must be authorized to work in the United States; no specific state pharmacy‑technician license required. Preferred Qualifications & Certifications Pharmacy Technician Certification: Certified Pharmacy Technician (CPhT) credential or state‑specific certification—while not mandatory, it signals a deeper understanding of pharmacy workflows. Medical Terminology Training: Formal coursework or certification demonstrating familiarity with pharmaceutical terminology. Experience with PBM Systems: Hands‑on experience using pharmacy benefit management platforms such as CoverMyMeds, Surescripts, or similar tools. Multilingual Ability: Ability to converse in Spanish or another language to serve diverse member populations. Advanced Computer Skills: Proficiency with Microsoft Office Suite, especially Excel for data tracking and reporting. Core Skills & Competencies Empathy & Emotional Intelligence: Demonstrates genuine concern for callers’ needs, building trust in stressful situations. Problem‑Solving: Quickly assesses information, applies criteria, and determines appropriate next steps. Time Management: Balances high call volume while maintaining quality and accuracy. Adaptability: Thrives in a dynamic environment with evolving policies and technologies. Team Collaboration: Works effectively with remote teammates, sharing knowledge and supporting collective goals. Compliance Mindset: Consistently adheres to HIPAA, CMS, and internal privacy standards. Career Growth & Learning Opportunities NTT DATA Services is dedicated to investing in your professional development. As a Remote Pharmacy Technician, you will have access to: Structured Training Programs: Comprehensive onboarding, certification pathways, and ongoing skill‑enhancement modules. Mentorship Networks: Pairing with experienced pharmacists and senior technicians for career guidance. Cross‑Functional Exposure: Opportunities to collaborate with IT, analytics, and client‑service teams, broadening your industry perspective. Career Pathways: Potential advancement to senior technician roles, quality‑assurance specialist, or transition into pharmacy operations, health‑information management, or client‑success positions. Performance Incentives: Eligibility for bonuses tied to individual excellence, team performance, and company‑wide achievements. Work Environment & Culture Our remote workforce thrives on shared values that promote: Flexibility: Work from any U.S. location with a reliable internet connection, creating a healthy work‑life balance. Inclusivity: A diverse, equitable environment where every voice is respected and heard. Innovation: Continuous improvement mindset—your ideas are welcomed and can shape future processes. Transparency: Open communication channels with leadership, regular town‑halls, and clear performance metrics. Well‑Being: Access to wellness resources, virtual fitness classes, and mental‑health support. Compensation, Perks & Benefits (General Overview) While exact figures depend on location, experience, and qualifications, successful candidates can anticipate: Competitive Hourly Wage: $19.00 – $21.20 per hour, paid through a W‑2 arrangement. Performance‑Based Incentives: Bonus potential linked to individual and company outcomes. Health Coverage: Medical, dental, and vision plans with employer contributions. Retirement Savings: 401(k) plan with company match. Paid Time Off: Generous PTO accrual, sick leave, and holiday schedule. Professional Development: Funding for certifications, webinars, and industry conferences. Technology Stipend: Support for home‑office equipment, high‑speed internet, and ergonomics. Employee Assistance Program (EAP): Confidential counseling and resources for personal challenges. Commitment to Diversity, Equity & Inclusion NTT DATA Services is an equal‑opportunity employer. We celebrate the richness of diverse perspectives and are committed to removing barriers for all candidates—including those with disabilities. If you require an accommodation during the hiring process, please let your recruiter know, and we will coordinate the necessary support. Application Process – Simple & Streamlined Ready to make a meaningful impact in the healthcare space while enjoying the freedom of remote work? Follow these three easy steps: Click “Apply” on our secure job portal. Submit Your Resume along with a brief cover letter highlighting your relevant experience. Interview & Onboarding: Our recruiting team will contact you promptly to schedule a virtual interview and walk you through our onboarding timeline. We review applications on a rolling basis, so don’t hesitate—your next career chapter could start today. Join Us – Make a Difference from Anywhere At NTT DATA Services, your work directly contributes to improving medication access, enhancing patient outcomes, and simplifying the pharmacy experience for millions of Americans. If you are driven, detail‑oriented, and eager to serve the healthcare community, we invite you to apply now and become a valued member of our remote pharmacy team. Apply Today: Click Here to Submit Your Application Apply for this job