Job Information
Actalent Remote Pharmacy Technician in Dallas, Texas
Actalent is Hiring Pharmacy Technicians for REMOTE Position!
As a Pharmacy Technician in the Appeals department, you will primarily handle cases involving denied Prior Authorizations for Medicare and Medicaid patients. Your main responsibilities include reviewing cases, reaching out for necessary additional information, and preparing cases for Pharmacists who will make the final determination on whether to uphold or overturn the denial. This role involves making about 60 outbound calls per shift to elderly members, addressing their concerns about denied medication, predominantly injectables administered at a doctor's office. You will be expected to work independently in a remote setting, ensuring a distraction-free, HIPAA-compliant environment.
Must Have:
5 months+ of Pharmacy Technician experience
State License or National Certification- PTCB/NHA
Customer service
Computer skills
Ability to work remotely
Pay: $19/hour + Medical Benefits and Equipment's provided
Please apply for more detail!
Description:
Track and triage coverage determination requests submitted from providers and 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 decision into the PBM system and notify providers and/or members
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
Position Purpose: Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients
Education/Experience: High school diploma or equivalent. 1+ years of retail, hospital or mail order pharmacy experience.
License/Certification: Current states Pharmacy Technician license and National Certification from Pharmacy Technician Certification Board (CPhT).
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.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are 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
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 (%20actalentaccommodation@actalentservices.com) for other accommodation options.