Job Description

Job Description

Seeking certified Pharmacy Technicians in Florida to review Prior Authorizations and make initial determinations for a Pharmacy Services department within a large healthcare insurance company. Technicians will either approve or deny requests and then forward them to a Pharmacist for final review. Responsibilities include processing prescription exceptions, resolving claim rejects, member and physician outreach, entering member demographics and prescription information into the data processing system, and resolving insurance billing issues or escalated member issues. Technicians will escalate prescription-related questions to a Pharmacist for interpretation or guidance on processing, and assist with inbound and/or outbound patient or physician calls.

Hard Skills

• Certified Pharmacy Technician
• Registered Pharmacy Technician
• Strong Computer Skills
• Basic Computer Skills
  
  

Soft Skills

• Ability to work remotely with strong WiFi and personal office space
• Flexibility to work variable shifts including weekends and some holidays
  
  

Work Site

This is a fully remote position.

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 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are 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
  
  

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 actalentaccommodation@actalentservices.com for other accommodation options.

Job Tags

Remote job, Holiday work, Full time, Shift work,

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