Remote Certified Pharmacy Technician

Fully Remote Certified Pharmacy Technician

The Certified Pharmacy Technician evaluates and authorizes Medicaid prior authorization pharmacy requests in a high-volume call center environment, using established clinical criteria and clear step-by-step guidelines. This role focuses on determining medication appropriateness, documenting outcomes in pharmacy systems, and communicating coverage decisions and formulary alternatives to prescribers, providers, and pharmacy professionals. The position is fully remote and offers structured training, modern equipment, and the potential to extend or convert after the initial one-year contract.

Responsibilities

• Evaluate and authorize Medicaid prior authorization pharmacy requests from prescribers received by telephone, following defined clinical criteria.
• Determine the appropriateness of prescribed medications based on established guidelines and client criteria.
• Communicate prior authorization decisions to physicians, physician office staff, medical management staff, and pharmacists in a clear and professional manner.
• Document all prior authorization outcomes accurately in the pharmacy system to ensure complete and compliant records.
• Explain applicable prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to prescribers, office staff, medical management staff, and pharmacists.
• Escalate requests to a Pharmacist when cases require extensive clinical review or when a denial is indicated, following step-by-step escalation procedures.
• Record physician and client inquiries, grievances, and outcomes, and provide verbal or written responses to prescribers, providers, clients, and internal management as needed.
• Process and clinically review coverage determinations for medications received via fax, ensuring attention to detail and adherence to criteria.
• Communicate coverage decisions for faxed requests within established service level agreement (SLA) timeframes.
• Efficiently multitask and monitor several work queues and assignments, including fax work, pending queues, oral notifications, and failed faxes.
• Adapt to changing team and business requirements, shifting focus among different queue types and workflows as needed.
• Navigate multiple computer systems and applications to research, document, and process prior authorization requests.
• Deliver a high level of customer service to prescribers, office staff, and pharmacy professionals, maintaining professionalism in all interactions.
• Work independently in a fast-paced remote environment while meeting productivity, quality, and SLA expectations.

Essential Skills

• Active state pharmacy technician registration or license, verified through the appropriate State Board of Pharmacy.
• National pharmacy technician certification (CPhT) through PTCB or NHA, with verifiable certification status.
• High School Diploma or GED.
• At least 1 year of experience in a retail or call center pharmacy environment (3 or more years preferred).
• Strong medical and health literacy, with the ability to comprehend clinical information and communicate it effectively.
• Strong written and verbal communication skills for interacting with prescribers, office staff, and pharmacy professionals.
• Excellent attention to detail and organizational skills to ensure accurate documentation and compliance.
• Comfort and proficiency in navigating multiple computer systems and applications simultaneously.
• Ability to work independently and reliably in a fast-paced, remote setting.
• Experience with pharmacy data entry and prior authorization processes.

Additional Skills & Qualifications

• Previous experience in pharmacy benefit management, prior authorization, healthcare, or commercial insurance environments.
• Customer service or call center experience, particularly within healthcare, pharmacy, or insurance settings.
• Familiarity with Medicaid pharmacy benefits and formulary management.
• Demonstrated ability to efficiently multitask and manage several queues and assignments.
• Strong problem-solving skills and the ability to follow structured clinical and operational workflows.
• Interest in long-term engagement, with the potential to extend or convert after the initial one-year contract.

Work Environment

This is a 100% remote position, open to candidates located in the United States except in California, Hawaii, and Puerto Rico. The role is based in a call center-style environment, conducted entirely from home using company-provided equipment, including a laptop, mouse and keyboard, headset, second monitor, and privacy screen. Standard work consists of 8-hour shifts scheduled between 6:00 a.m. CST and 9:00 p.m. CST, Monday through Sunday, with assignment to a specific shift; some shifts include weekends and some do not. Overtime may be required during peak season, typically from November through May, depending on business needs, and holidays may be worked based on demand. The position begins with 6 to 8 weeks of classroom-style virtual training from 8:30 a.m. to 5:00 p.m. CST, Monday through Friday, with no time off allowed during the training period. Following training, approximately 80 hours (two weeks) of unpaid time off are available during the one-year contract, subject to advance approval and business needs. The work environment emphasizes accuracy, responsiveness, and adherence to service level agreements, with clear processes and criteria to support technicians in making appropriate determinations.

Job Type & Location

This is a Contract position based out of Eagan, MN.

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)

Application Deadline

This position is anticipated to close on Nov 5, 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.