Pharmacy Technician - REMOTE

We are hiring for a 100% REMOTE Pharmacy Technician ASAP! Leading healthcare company is looking for a certified pharmacy technician to join their team! REMOTE OPPORTUNITY!

WHAT'S IN IT FOR YOU:

REMOTE position Opportunity to grow within managed care Gain experience working with Medicare

REQUIREMENTS:

California pharmacy technician license OR national pharmacy technician license Ability to work 8-hour shifts starting at 8am, 9am, or 10am Monday-Friday (training is 8am-10am EST start time) HS diploma Job Description The Pharmacy Technician supports coverage determination and prior authorization activities for Medicare Part D recipients by reviewing requests, gathering clinical information, and documenting decisions in the pharmacy benefit management system. This role works closely with prescribers, providers, and members to ensure timely and accurate processing of coverage determinations while providing clear communication and support throughout the authorization process. Responsibilities Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients. Review coverage determination requests submitted by providers and determine when a pharmacist review is required. Obtain verbal authorizations from prescribers and request detailed clinical information to support coverage decisions. Approve coverage determination requests based on defined clinical and plan criteria. Enter and document coverage determination decisions accurately in the pharmacy benefit management (PBM) system. Notify providers and members of coverage determination outcomes in a clear and timely manner. Respond to client inquiries regarding authorization approvals and the use of PBM online applications. Refer coverage determination requests for specialty medications to the appropriate delegated vendor or client for processing. Contact providers to obtain additional information needed to complete coverage determination reviews. Communicate coverage determination decisions to physicians, providers, and members, ensuring they understand the outcome and next steps. Essential Skills Active State Pharmacy Technician license. Pharmacy technician certificate or equivalent credential. At least 1 year of experience in a retail, hospital, or mail order pharmacy setting. High school diploma or equivalent. Experience working in a mail order pharmacy or retail pharmacy environment. Ability to accurately document information and decisions in a PBM or similar system. Strong verbal communication skills for obtaining authorizations and clinical details from prescribers. Ability to interpret and apply defined criteria for coverage determinations and prior authorizations. Additional Skills & Qualifications National Certification from the Pharmacy Technician Certification Board (CPhT) preferred. Experience supporting Medicare Part D coverage determinations and prior authorizations. Familiarity with PBM online applications and related authorization workflows. Strong attention to detail and ability to manage multiple coverage requests simultaneously. Comfort working independently in a remote environment while meeting performance and quality expectations. Work Environment This is a 100% remote position aligned to the Pacific Time Zone (PST) OR Central Time zone. You will work from a home office environment using online pharmacy benefit management and authorization systems to review and process coverage determinations. Collaboration with prescribers, providers, and internal teams occurs primarily through phone and electronic communication. Standard remote-work technology, such as a reliable computer and internet connection, is required to perform daily responsibilities effectively. Job Type & Location This is a Contract position based out of Dallas, TX. Pay and Benefits 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) Actalent is an equal opportunity employer. #J-18808-Ljbffr Actalent