Pharmacy Technician

We are seeking a skilled Pharmacy Technician to join our Appeals department. This position is focused on working with Medicare and Medicaid patients, primarily dealing with Medicare-related issues. The key responsibility is to manage and process denied Prior Authorizations before forwarding cases to Pharmacists for final determination.

Responsibilities

• Review information provided for each case and reach out for additional information if necessary.
• Communicate effectively with Medicare/elderly members to understand their concerns regarding denied medications.
• Handle outbound calls, making approximately 30-60 calls per shift to assist frustrated patients with their denied medication issues.
• Ensure accurate data entry and management of claims and denials in the system.
• Collaborate with Pharmacists by providing them with necessary information to make a determination on each case.

• Experience in pharmacy or as a pharmacy technician, particularly in appeals and managed care.
• Strong understanding of claims and denials processing.
• Proficient in data entry.

• Excellent customer service skills with a focus on telephone communication.
• Ability to manage and control conversations, redirecting them as needed to achieve desired outcomes.

This position requires residing in the state of New York. The role involves making outbound calls, primarily dealing with Medicare patients. You will work in an environment that requires patience and empathy, as you assist members who may be frustrated with their medication denial situations.

Job Type & Location

This is a Contract to Hire position based out of Rochester, NY.

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)

This is a fully remote position.

This position is anticipated to close on Apr 20, 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.

Salary : $18 - $20