Pharmacy/Technician

Pharmacy TechnicianWe are seeking Pharmacy Technicians to join our Appeals department. This position primarily involves medical authorizations, with a focus on injectable medications administered in doctors' offices. It is not centered on traditional prescription authorizations. The role requires data entry and involves some outbound phone work to communicate with doctors or members. The technician will review rejected Prior Authorizations that have gone to appeal, possibly contacting doctor's offices and members for additional information. They will also handle some inbound calls from these parties.ResponsibilitiesReview rejected Prior Authorizations that have gone to appeal.Conduct data entry and handle outbound phone communications with doctors and members.Use CPS Compass and UMV systems, as well as the Express Scripts platform.Access the department's inbound fax queue and process appeals or reimbursement requests.Review Pharmacy Appeals or Reimbursement cases against plan criteria.Make outreach to provider's offices and members for additional information needed for case reviews.Essential SkillsCustomer service skills.Experience with prior authorization and insurance processes.Proficiency in data entry and computer skills.Knowledge of Microsoft Office and Outlook.Quality auditing and intake experience.Registered Pharmacy Technician License.Additional Skills & Qualifications2+ years of experience in retail, payor, or hospital settings.Strong computer skills and attention to detail.Ability to adapt and work independently.Experience in managed care or prior authorization is a plus.National certification as a Pharmacy Technician.Detail-oriented and accustomed to tight deadlines.Work EnvironmentThis is a 100% remote position requiring a quiet, closed-door setting with strong Wi-Fi. The work schedule is Monday to Friday, 8 am to 8 pm in your time zone, with most shifts likely from 10 am to 6:30 pm after training. Weekend rotations are available every 4-6 weeks, with potential holiday work. Training is four weeks long, Monday to Friday, 10 am to 6:30 pm EST.Job Type & LocationThis is a Contract to Hire position based out of Orlando, FL.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 & 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 TypeThis is a fully remote position.Application DeadlineThis position is anticipated to close on Sep 18, 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.