Pharmacy/Certified TECH

Job Description Job Title: Remote Pharmacy Technician This remote Pharmacy Technician role focuses on reviewing prior authorization requests and supporting coverage determinations for a pharmacy services department within a large healthcare insurance organization. You will evaluate requests for a wide range of medications across multiple health plans, enter decisions into pharmacy benefit systems, and collaborate closely with pharmacists for final review. The position offers minimal phone work, a structured schedule, and the opportunity to transition to a permanent role with long-term career growth. Review prior authorization requests for prescription medications to support coverage determinations in accordance with established criteria and guidelines. Approve or deny coverage requests based on documented criteria and route all decisions to a pharmacist for final review and sign-off. Track and manage coverage determination requests from receipt through completion, ensuring timely and accurate processing. Enter decisions and related documentation into the pharmacy benefit management (PBM) system and other internal platforms with a high level of accuracy. Obtain verbal authorizations from prescribers or their offices and request detailed clinical information as needed to support coverage decisions. Handle prior authorization requests for all health plans and all types of medications, including specialty and high-cost therapies. Respond to client inquiries related to prescription benefit coverage, prior authorization status, and related issues. Refer requests involving specialty medications or complex therapies to the appropriate specialty drug teams or clinical resources. Contact providers, prescribers, or their staff to clarify prescriptions, gather missing information, or resolve discrepancies in prior authorization requests. Assist with inbound and outbound patient or physician calls as needed, while maintaining a primarily non-phone-based workflow. Use multiple computer screens and systems simultaneously to review clinical information, update records, and document all activities. Maintain high standards of data entry accuracy, ensuring that all information entered into systems is complete, correct, and compliant with internal procedures. Demonstrate strong customer service skills when interacting with providers, members, and internal partners, ensuring a professional and courteous experience. Adhere to all regulatory, compliance, and company policies related to pharmacy practice, privacy, and prescription benefits. Meet or exceed performance metrics, quality standards, and productivity expectations as defined by the department. Participate in training sessions and ongoing education to stay current with policies, systems, and prior authorization criteria. Collaborate with pharmacists, pharmacy technicians, and other team members to ensure efficient workflow and consistent application of coverage criteria. High school diploma or GED. Current registration as a pharmacy technician in the state of residence. National certification as a Pharmacy Technician (e.g., PTCB or NHA). Active Pharmacy Technician license and registration as required by the state of operation. Certified Pharmacy Technician (CPhT) or equivalent national certification. Registered Pharmacy Technician status in applicable state. Strong computer skills, including the ability to work efficiently in multiple systems and on multiple screens. Basic to strong proficiency with Microsoft Office, including Outlook. Proficiency in data entry with high accuracy and attention to detail. Experience or familiarity with prior authorization processes for prescription benefits. Ability to navigate PBM (Pharmacy Benefit Management) systems and prescription benefit platforms. Strong customer service skills, including clear communication and professional interaction with providers and members. Ability to work in a call centerstyle environment if needed for inbound or outbound calls. Reliable high-speed Wi‑Fi and the ability to maintain a dedicated, private workspace with a closing door for remote work. Ability to work Monday through Friday between 8:00 a.m. and 8:00 p.m. in the local time zone, with rotating weekend and some holiday coverage. Job Type & Location: This is a Contract to Hire position based out of ORLANDO, FL. Pay and Benefits: The pay range for this position is $18.00 - $23.00/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. 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 Oct 5, 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. #J-18808-Ljbffr Walgreens