Remote Prior Authorization Pharmacy Technician

Job Title: Pharmacy Technician

Job Description

As a Pharmacy Technician, you will be responsible for reviewing prior authorizations and determining their approval or denial for a Pharmacy Services department within a large healthcare insurance company. You will handle all health plans and types of medications, ensuring accurate processing and communication with pharmacists for final review.

Responsibilities

• Process prescription exceptions, including resolving claim rejects and conducting member and physician outreach.
• Enter member demographics and prescription information into the data processing system.
• Research and resolve rejected insurance billing issues and escalated member issues.
• Escalate questions regarding prescriptions to a pharmacist for interpretation or guidance.
• Assist with inbound and outbound patient or physician calls.

Essential Skills

• High School diploma or GED.
• Current Pharmacy Registration and Certification as required by state of operation.
• Strong computer skills, including proficiency in Microsoft Office and Outlook.
• Nationally Certified Technician and Registered Pharmacy Technician in the state of residence.

Additional Skills & Qualifications

• Experience with call center, PBM, hospital, or specialty pharmacy settings.
• Familiarity with prescription benefits management.
• Ability to handle multiple screens and systems in a remote work environment.
• Strong Wi-Fi and a dedicated office space with a closed door.
• Possession of a smart phone.

Work Environment

This position operates in a professional remote environment, requiring a strong internet connection and personal office space. The role involves working with multiple systems and screens. Equipment such as a computer, monitor, and headset will be provided. The shift requires availability Monday through Friday from 8am to 8pm in the local time zone, with rotating weekends and holiday schedules. Training hours are 10am to 6:30pm EST, followed by regular shift allocation.

Job Type & Location

This is a Contract to Hire position based out of St. Louis, MO.

Pay and Benefits

The pay range for this position is $20.00 - $23.00/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 Jul 10, 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.

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.

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

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