100% Remote Pharmacy Technician

100% Remote Pharmacy Technician

Job Description

We are seeking a dedicated Pharmacy Technician to join our team, focusing on supporting Medicare and Medicaid patients. This role involves working in the MedPharma environment, primarily handling the intake process for prior authorizations of injectables. Initially, you will set up prior authorizations in our systems and forward them to a review technician, with training provided for further review tasks.

Responsibilities

• Manage the intake process for MedPharma prior authorizations.
• Set up prior authorizations in the system and forward them for review.
• Collaborate with team members to ensure efficient processing of authorizations.
• Read and interpret insurance criteria using Microsoft Suite.
• Engage in extensive reading to stay updated with relevant procedures and guidelines.

Essential Skills

• Current pharmacy technician license.
• Experience in managed care and pharmacy settings.
• Proficiency in handling prior authorizations.
• Strong data entry skills and ability to manage claims and denials.

Additional Skills & Qualifications

• Experience with appeals processes.
• Familiarity with Medicare and Medicaid regulations.

Work Environment

This position is 100% remote and requires working in a closed-door setting with minimal distractions to maintain HIPAA compliance. Strong WiFi and the ability to work effectively from home are essential. The role includes a rotating holiday schedule with team members once fully trained. Training lasts 4-6 weeks, Monday to Friday from 10 am to 6:30 pm EST. After training, the schedule will be Tuesday to Saturday, with preferred hours of 12:30 pm to 9 pm EST from Tuesday to Friday and 8 am to 4:30 pm EST on Saturdays. Lunch breaks range from 30 minutes to an hour. Job Type & Location This is a Contract to Hire position based out of Miami, FL. Pay and Benefits The pay range for this position is $18.00 - $20.00/hr. 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 Type This is a fully remote position. Application Deadline This position is anticipated to close on May 5, 2026. Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I is embedded into our culture through:

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people

Actalent is an equal opportunity employer. About Actalent Actalent is a global leader in engineering and sciences services. For more than 40 years, we've helped visionary companies advance their goals. Headquartered in the United States, our teams span 150 offices across North America, EMEA, and APAC-with four delivery centers in India led by 1,000+ extraordinary employees who connect their passion with purpose every day. Our Bangalore, Hyderabad, Pune, and Chennai delivery centers are hubs of engineering expertise, with core capabilities in mechanical and electrical engineering, systems and software, and manufacturing engineering. Our teams deliver work across multiple industries including transportation, consumer and industrial products, and life sciences. We serve more than 4,500 clients, including many Fortune 500 brands. Learn more about how we can work together at actalentservices.com. Apply tot his job Apply To this Job