Remote Pharmacy Technician - Prior Authorization

Job Title: Pharmacy Technician

Job Description

The Pharmacy Technician supports pharmacy operations including prior authorizations, formulary management, claims processing, audit/recovery, and Medicare Part D/Part B programs. This role partners with pharmacists, providers, and members to ensure accurate, compliant, and timely handling of pharmacy benefits.

Responsibilities

• Review and process prescription drug and pharmacy benefit requests in accordance with guidelines
• Support prior authorizations, coverage determinations, and appeals processing
• Research and resolve issues related to claims, benefits, and formulary coverage
• Maintain and update formulary data, including change requests and audits
• Perform pharmacy audit and recovery activities, including claim discrepancy review
• Communicate with providers, pharmacies, and members via phone, fax, and email
• Document activities accurately in claims systems and databases
• Assist with Medicare Part D/Part B operations and state health programs (e.g., Medi-Cal)
• Support compliance, reporting, and audit readiness activities
• Collaborate cross-functionally to resolve operational and regulatory issues

Essential Skills

• High school diploma or GED
• 1 year of Pharmacy Technician experience
• Experience with data entry, claims processing, and/or prior authorizations
• Strong attention to detail and problem-solving skills
• Ability to interpret pharmacy benefits, formularies, and guidelines
• Excellent communication and customer service skills
• Ability to manage high-volume workload and multiple priorities

Additional Skills & Qualifications

• Active Pharmacy Technician license
• Experience with Medicare Part D/Part B or state programs (e.g., Medi-Cal)
• Experience in appeals, audit/recovery, or PBM systems
• Experience with databases (e.g., Access)

Work Environment

Fast-paced, structured healthcare environment (office or call center) requiring frequent system use, high accuracy, and collaboration across teams to support pharmacy operations and compliance.

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

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 Jul 1, 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.

Salary : $18 - $20