Remote Pharmacy Technician

Remote Pharmacy Technician

This role offers an opportunity for a licensed Pharmacy Technician to support the appeals process for Medicare and Medicaid members, with a primary focus on Medicare. You will review denied prior authorization requests, gather additional clinical or administrative information as needed, and prepare complete case files for pharmacists to make final coverage determinations. The position centers on outbound phone-based customer service with members who may be frustrated about medication denials, requiring strong communication skills, empathy, and the ability to manage conversations effectively while maintaining accuracy in documentation and data entry.

Responsibilities

• Review denied prior authorization cases for Medicare and Medicaid members, with a primary focus on Medicare appeals.
• Make 30–60 outbound calls per shift to members and other relevant parties to obtain missing or clarifying information.
• Communicate clearly and empathetically with Medicare and elderly members who may be frustrated about medication denials.
• Gather and document clinical and administrative details related to medications, including injectable therapies administered in a doctor’s office.
• Accurately enter and update case information in the appropriate systems and databases.
• Prepare complete and organized case files and forward them to pharmacists for final determination on whether to uphold or overturn denials.
• Follow established appeals procedures, guidelines, and timelines to ensure efficient and compliant case handling.
• Collaborate with pharmacists and other team members as needed to clarify case details and support timely decision-making.

Required Skills

• Active pharmacy technician license.
• Minimum 2 years of Experience working in a pharmacy or managed care environment.
• Knowledge of pharmacy operations, medication terminology, and prior authorization processes.
• Familiarity with appeals, managed care, claims, and denial workflows.
• Strong customer service skills over the phone

Remote role: Preferably located at South or North Carolina/Arizona/Florida/Alabama/Texas/Florida

INTERESTED IN THIS ROLE? SEE BELOW TO BE IMMEDIATELY CONSIDERED:

• I am scheduling phone interviews as early as today. All candidates will be considered immediately within 24 hours of applying directly to Fathima
• HOW TO APPLY DIRECTLY: Email your updated resume, brief intro about your interest, preferred method of communication for you (i.e., call, email, text) to fam@actalentservices.com or CALL- 904 530 541

This is a Contract to Hire position based out of Fort Lauderdale, FL.

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 May 15, 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