Job Description

Job Description

Job Description

Job Title: Remote Pharmacy Technician

Job Description

This role focuses on supporting Medicare and Medicaid patients by processing and reviewing medication prior authorizations in a fully remote environment. You will begin with intake responsibilities and grow into a prior authorization review function, using your pharmacy technician experience and managed care knowledge to make coverage determinations. The position offers a strong culture, flexibility, and comprehensive benefits, while allowing you to work independently from a HIPAA-compliant home office.

Responsibilities

• Handle the intake of prior authorization requests for medications, ensuring all required information is complete and accurately entered into internal systems.
• Set up prior authorization cases in the system and route them to the appropriate review technician in a timely and organized manner.
• Receive prior authorization cases from the intake team and perform detailed technical reviews to determine medication coverage.
• Read and interpret coverage criteria, standard operating procedures (SOPs), insurance documents, and medical documents to assess eligibility.
• Make clinical determinations regarding whether medications are approved, denied, or covered in any capacity, following established guidelines and criteria.
• Document decisions clearly and accurately within the system, ensuring all notes and justifications are complete and compliant.
• Provide professional customer service over the phone, handling inbound and outbound calls related to prior authorizations and coverage decisions.
• Control conversations effectively, redirect discussions when needed, and de-escalate challenging interactions while maintaining a calm and professional demeanor.
• Use strong data entry and computer skills to manage high volumes of cases with accuracy and attention to detail.
• Work independently in a remote setting, managing your time, workload, and priorities to meet productivity and quality standards.
• Collaborate with team members and leadership as needed to clarify criteria, resolve complex cases, and support continuous process improvement.
• Participate in training and ongoing education to stay current with policies, procedures, and managed care requirements.

Essential Skills

• Pharmacy technician experience, preferably in a managed care or prior authorization environment.
• Pharmacy technician certification (such as CPhT) or eligibility and intent to obtain certification, as required by role or jurisdiction.
• Experience working with Medicare and Medicaid patients or payers.
• Hands-on experience with prior authorization processes for medications.
• Strong data entry skills with a high level of accuracy and attention to detail.
• Proficiency in computer use, including navigating multiple systems and applications simultaneously.
• Customer service experience over the phone, including handling a high volume of calls.
• Ability to control and guide conversations, redirect when necessary, and maintain professionalism during challenging interactions.
• Demonstrated ability to work remotely and independently while meeting performance expectations.
• Comfort with reading and interpreting insurance documents, coverage criteria, SOPs, and medical documents.

INTERESTED IN THIS ROLE? SEE BELOW TO BE IMMEDIATELY CONSIDERED:

• I am scheduling phone interviews as early as today. All candidates will be considered immediately within 24 hours of applying directly to Fathima
• HOW TO APPLY DIRECTLY: Email your updated resume, brief intro about your interest, preferred method of communication for you (i.e., call, email, text) to fam @actalentservices.com or CALL- 904 530 5415

Job Type & Location

This is a Contract to Hire position based out of Atlanta, GA.

The pay range for this position is $20.00 - $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)

This is a fully remote position.

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 withoutregard to race, sex, age, color, religion, national origin, veteran status, disability,sexual orientation, gender identity, genetic information or any characteristic protectedby law.

If you would like to request a reasonable accommodation, such as the modification oradjustment of the job application process or interviewing process due to a disability,please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in thecity and county of San Francisco, we will consider for employment qualified applicantswith arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as acondition of employment or continued employment. An employer who violates this lawshall 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 applicationsand qualifications, but final decisions are made by our hiring team. By applying, youacknowledge and agree that your application may be reviewed using AI tools.

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