We are currently seeking diligent and detail-oriented Pharmacy Technicians to join our dynamic Pharmacy Services team. In this role, you will be responsible for reviewing Prior Authorizations to determine coverage for a healthcare insurance company's pharmacy department. Your main tasks include approving or denying authorizations and forwarding them to Pharmacists for final review. You will manage various health plans and handle all types of medications.

　　You will also process prescription exceptions which may include resolving claim rejects, conducting member and physician outreach, entering member demographics and prescription information into our data processing system, researching and resolving rejected insurance billing issues, escalating member issues when necessary, and consulting with Pharmacists regarding prescription queries. Additionally, you may be tasked with assisting with inbound and/or outbound calls to patients or physicians, ensuring a smooth and efficient service is provided.

　　Hard Skills:

　　Current Pharmacy Registration and Certification as per state requirements

　　Basic computer skills

　　Certified Pharmacy Technician

　　Registered pharmacy technician in the state of residence

　　Experience with NHA or PTCB preferred

　　Soft Skills:

　　Strong computer skills

　　Excellent communication skills, both written and verbal

　　Ability to manage multiple tasks and priorities

　　Detail-oriented with a focus on accuracy and quality

　　Work Environment:

　　This is a remote position requiring a dedicated workspace with a door, robust wifi connection, and the ability to work within multiple screens and systems. All necessary equipment, such as a computer, monitor, and headset, will be provided.

　　Shift:

　　Candidates must be flexible with their schedule, available Monday-Friday from 8am-8pm based on their time zone, with a rotating weekend schedule every 4-6 weeks, and the ability to work some holidays. Bidding will be available for holiday schedules. Training will be provided from 10am-6:30pm EST, after which regular shifts will be assigned.

　　Education/Experience:

　　High School diploma or equivalent

　　At least 2 years of pharmacy experience

　　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 [email protected] (%[email protected]) for other accommodation options.