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100% Remote Pharmacy Technician

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Actalent

10d ago

  • Job
    Full-time
    Junior Level
  • Customer Relations
    Healthcare
  • Phoenix

AI generated summary

  • You must be a registered Pharmacy Technician with national certification preferred (PTCB/NHA), 2 years of recent experience, and prior authorization experience, ideally in specialty or remote roles.
  • You will track coverage determination requests, obtain authorizations, approve requests, document decisions, respond to inquiries, refer specialty drug requests, and notify providers and members.

Requirements

  • - Registered Pharmacy Technician in your state.
  • - National Certification - PTCB OR NHA is preferred.
  • - At least 2 years of recent pharmacy technician experience.
  • - Prior Authorization experience.
  • - Previous positions in specialty pharmacy or remote roles preferred.

Responsibilities

  • - Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required
  • - Obtain verbal authorizations and request detailed clinical information from prescribers
  • - Approve coverage determination requests based on defined criteria
  • - Enter and document coverage determination request decision into the PBM system and notify providers and/or members
  • - Respond to client inquiries regarding authorization approvals and PBM online applications
  • - Refer coverage determination requests for specialty drugs to delegated vendor or client for processing
  • - Contact providers for additional information to facilitate coverage determination reviews
  • - Notify physicians, providers, and members of coverage determination request decisions

FAQs

Is this position 100% remote?

Yes, this position is 100% remote and allows you to work from home.

What are the working hours for this role?

The working hours are from 8 am to 8 pm, with availability required for rotating weekends as needed.

What qualifications are required for this job?

You must be a registered Pharmacy Technician in your state, with national certification preferred (PTCB or NHA), at least 2 years of recent pharmacy technician experience, prior authorization experience, and previous positions in specialty pharmacy or remote roles preferred.

What responsibilities will I have as a Pharmacy Technician?

You will be responsible for tracking and triaging coverage determination requests, obtaining verbal authorizations, documenting decisions in the PBM system, responding to client inquiries, and notifying providers and members of coverage determination decisions.

Is prior authorization experience required?

Yes, prior authorization experience is required for this role.

Does Actalent promote diversity and inclusion?

Yes, Actalent is committed to diversity, equity, and inclusion, and these values are embedded in the company's culture and practices.

Can I request accommodations during the application process?

Yes, if you need to request a reasonable accommodation due to a disability, you can email actalentaccommodation@actalentservices.com for other accommodation options.

Are there opportunities for growth within the company?

Yes, Actalent provides growth opportunities for its employees as part of its commitment to their development and success.

Actalent

An Engineering and Sciences Services Company | People to Possible

Human Resources
Industry
5001-10,000
Employees

Mission & Purpose

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent’s global footprint and flexible delivery models ensure access to specialized talent where and when you need it. We promote consultant engagement through professional development and provide experiences to ensure continuous learning. Our people are the difference. Our expertise spans capabilities in engineering including product and manufacturing, systems and software, construction management, environmental, architecture and civil; and power and utilities. We focus on sciences capabilities in laboratory sciences, healthcare, and clinical research. Actalent is an operating company of Allegis Group, the global leader in talent solutions.