Pharmacy Technician

As a Pharmacy Technician, you will track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required. You will obtain verbal authorizations and request detailed clinical information from prescribers, approve coverage determination requests based on defined criteria, and document the request decisions into the PBM system. You will also notify providers and / or members and respond to client inquiries regarding authorization approvals and PBM on-line applications.

Responsibilities

• Track and triage coverage determination requests submitted from providers.
• 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 decisions into the PBM system.
• Notify providers and / or members of coverage determination request decisions.
• Respond to client inquiries regarding authorization approvals and PBM on-line 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.

Additional Skills & Qualifications

Work Environment

This position offers a 100% remote work environment.

Shift Times

Job Type & Location

This is a Contract to Hire position based out of Raleigh, NC.

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 :

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Nov 17, 2025.

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.

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 due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.