REMOTE Certified Pharmacy Technician

Remote Certified Pharmacy TechnicianJoin a dynamic pharmacy operations team supporting pharmacy benefits, prior authorizations, formulary management, Medicare programs, appeals, and member services. In this role, you will partner with pharmacists, providers, pharmacies, and members to ensure accurate claims processing, regulatory compliance, and exceptional customer service. This position is ideal for a detail-oriented Pharmacy Technician who enjoys problem-solving, working with healthcare data, and making a direct impact on patient access to medications.ResponsibilitiesProcess and review pharmacy benefit requests, prior authorizations, formulary updates, and prescription claims in accordance with established guidelines.Research and resolve pharmacy-related inquiries from providers, pharmacies, members, and internal business partners.Support Medicare Part D, Medicare Part B, and state health program pharmacy operations, including claims processing, audits, and compliance activities.Review claim, benefit, and authorization data to identify discrepancies, ensure accuracy, and support quality assurance initiatives.Maintain and update pharmacy databases, documentation, reports, and benefit information across multiple systems.Collaborate with pharmacists, medical leadership, and cross-functional teams to support clinical and operational pharmacy initiatives.Assist with pharmacy audit and recovery activities, including claim reviews, findings documentation, and pharmacy communications.Support appeals, coverage determinations, and prior authorization workflows by gathering information, documenting cases, and communicating outcomes.Respond to inbound calls, emails, and other correspondence while providing professional customer service and pharmacy benefit education.Participate in regulatory, compliance, and process improvement initiatives to support efficient pharmacy operations.Perform other duties as assigned to support pharmacy operations and member service.Essential SkillsHigh school diploma or GED required.At least 1 year of Pharmacy Technician experience.Experience working with prescription claims, prior authorizations, pharmacy benefits, or related pharmacy operations.Strong attention to detail with excellent data entry and documentation skills.Ability to research, analyze, and resolve issues using established resources and guidelines.Strong verbal and written communication skills when interacting with members, providers, pharmacies, and internal teams.Ability to manage multiple priorities in a fast-paced environment while maintaining accuracy.Proficiency with computer systems, databases, and Microsoft Office applications.Customer service experience preferred.Valid Pharmacy Technician license preferred.Additional Skills & QualificationsExperience with prior authorizations, formulary management, appeals, pharmacy audits, or pharmacy benefit operations.Knowledge of Medicare Part D, Medicare Part B, PBM processes, and pharmacy claims systems.Familiarity with state-sponsored healthcare programs and pharmacy benefit administration.Experience supporting compliance, audit preparation, or regulatory requirements.Ability to collaborate effectively with pharmacists, providers, and cross-functional business teams.Strong analytical and problem-solving skills with the ability to interpret pharmacy and medical benefit information.Work EnvironmentThis position works in a structured office or contact-center setting supporting pharmacy benefit administration and member services. Daily responsibilities include working within pharmacy systems, claims platforms, and reporting tools while managing phone, email, and electronic documentation workflows. Success in this role requires strong attention to detail, adherence to established procedures, and collaboration with internal and external stakeholders in a fast-paced, compliance-focused environment.Job Type & LocationThis is a Contract to Hire position based out of Baltimore, MD.Pay and BenefitsThe 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 & visionCritical Illness, Accident, and Hospital401(k) Retirement Plan – Pre-tax and Roth post-tax contributions availableLife Insurance (Voluntary Life & AD&D for the employee and dependents)Short and long-term disabilityHealth Spending Account (HSA)Transportation benefitsEmployee Assistance ProgramTime Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a fully remote position.Application DeadlineThis position is anticipated to close on Sep 19, 2026.About ActalentActalent 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.