Pharmacy Technician

Actively Interviewing for 100% Remote Pharmacy Technician to join top managed care organization! Job Description This Pharmacy Technician role supports multiple pharmacy operations areas, including formulary management, pharmacy audit and recovery, pharmacy service center, Medicare Part D and Part B, appeals, state health programs pharmacy operations, prior authorization, and oversight and audit support. Using established guidelines, the Pharmacy Technician reviews and processes requests from physicians, medical groups, pharmacies, and members for prescription drugs and pharmacy benefits, researches and resolves issues, and collaborates with clinical pharmacists and other healthcare professionals to ensure accurate, compliant, and timely pharmacy benefit administration. Responsibilities + Review and process formulary change requests from health plans in accordance with established guidelines. + Submit and maintain formulary change requests with the pharmacy claims processor and ensure accurate updates. + Generate, maintain, and review formulary status grids to ensure accuracy and contract compliance. + Use reports to perform audits and quality checks on current formulary status and identify discrepancies. + Assist clinical pharmacists with formulary database maintenance and updates to the company website. + Perform a variety of assignments related to pharmacy audit and recovery functions. + Review paid claims for quantity and billing discrepancies and communicate findings to pharmacies. + Fax inquiries to pharmacies related to audit findings and respond to incoming faxed correspondence. + Answer incoming calls from pharmacies and respond appropriately to questions and issues. + Update an Access database with information from incoming phone calls, faxes, and emails. + Take member inquiry calls related to pharmacy benefits, including prior authorization requests. Essential Skills + High school diploma or GED. + At least 1 year of experience as a Pharmacy Technician. + Pharmacy data entry experience, including processing claims and prior authorizations. + Experience reviewing and processing prescription drug and pharmacy benefit requests. + Ability to research and resolve pharmacy-related questions, problems, and issues using reference materials. + Strong attention to detail when reviewing claims, formulary status, and prior authorization documentation. + Effective verbal and written communication skills for interacting with members, providers, pharmacies, and internal teams. + Ability to handle high volumes of phone calls and inquiries in a professional and efficient manner. + Proficiency in using computer systems, databases, and claims processing platforms. + Ability to interpret and apply pharmacy and medical benefit policies and criteria. + Organizational skills to manage multiple tasks, reports, and audits simultaneously. + Customer service skills, with the ability to educate members and respond to provider and pharmacy inquiries. + Valid Pharmacy Technician license (preferred). Additional Skills & Qualifications + Customer service or retail experience is preferred. + Experience with prior authorization processes and criteria is highly beneficial. + Experience handling pharmacy appeals and understanding appeal workflows. Work Environment The Pharmacy Technician works in a structured, office-based or pharmacy operations environment that focuses on accurate and compliant administration of pharmacy benefits. The role involves extensive use of computer systems, claims processing platforms, and databases, including tools such as Access for tracking communications and PBM systems for documenting coverage determinations and prior authorizations. The position is highly phone- and computer-intensive, requiring frequent interaction with members, providers, pharmacies, internal departments, and external partners. Work is guided by established policies, procedures, and regulatory requirements, with regular participation in audits, quality checks, and process improvements. The environment emphasizes accuracy, timeliness, and adherence to standards while supporting collaboration across multiple pharmacy operations functions, including formulary management, prior authorization, appeals, Medicare Part D and Part B operations, and state health programs. Job Type & Location This is a Contract to Hire position based out of Birmingham, AL. Pay and Benefits The pay range for this position is $20.00 - $24.00/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) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Sep 22, 2026. 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.