Remote Certified Pharmacy Technician

100% Remote Certified Pharmacy Technician

Job Description

As a Certified Pharmacy Technician, you will evaluate and authorize approval of commercial prior authorization pharmacy requests using clinical criteria in a call center environment. Your role involves determining medication appropriateness, communicating decisions to relevant parties, documenting outcomes, and escalating requests for extensive clinical review or denial.

Responsibilities

• Evaluate and authorize commercial prior authorization pharmacy requests from prescribers received by telephone.

• Determine appropriateness for medications and communicate decisions to physicians, physician office staff, medical management staff, and pharmacists.

• Document prior authorization outcomes in the pharmacy system.

• Communicate selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives.

• Escalate requests to Pharmacist for extensive clinical review or denial.

• Document physician or client inquiries and grievances, providing verbal or written results.

• Work in the fax queue, clinically reviewing coverage determinations for medications.

• Efficiently multitask and monitor several queues and assignments, adapting to team requirements.

Additional Skills & Qualifications

• Previous experience in pharmacy benefit, prior authorization, healthcare, or commercial insurance preferred.

• Customer service, call center, healthcare, pharmacy, or insurance experience is advantageous.

Job Type & Location

This is a Contract position based out of Houston, TX.

Pay and Benefits

The pay range for this position is $18.00 - $22.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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)

Job Type & Location

This is a Contract position based out of Houston, TX.

Application Deadline

This position is anticipated to close on Oct 30, 2026.

Workplace Type

This is a fully remote position.

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 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

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 View email address on click.appcast.io for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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