About the Role
Join a dynamic insurance company as a Pharmacy Technician, specializing in MedPharma. You will work primarily with Medicare patients, focusing on the Prior Authorization of injectables. This role involves handling the intake process for prior authorizations, setting up cases in the system, and eventually training to review authorizations.
Responsibilities
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Manage the intake process for MedPharma prior authorizations.
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Set up prior authorizations in the system and forward them to review technicians.
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Read and understand insurance criteria and documentation.
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Utilize Microsoft Suite for data entry and processing.
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Collaborate with team members to handle appeals, managed care, claims, and denials.
Essential Skills
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Active state or national Pharmacy Technician license.
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Experience in managed care and pharmacy operations.
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Prior Authorization experience, particularly with Medicare and Medicaid.
Additional Skills & Qualifications
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Proficiency in data entry.
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Experience in reviewing insurance appeals and claims.
Work Environment
This position is fully remote and requires working in a closed-door setting with minimal distractions to ensure HIPAA compliance.
Training Schedule (6 weeks)
Monday to Friday, 10 AM to 6:30 PM EST.
Post-Training Schedule
Tuesday to Friday from 12:30 PM to 9 PM EST, Saturday from 8 AM to 4:30 PM EST.
Lunch breaks range from 30 minutes to an hour. Holiday coverage is rotated among team members once fully trained.
Job Type & Location
This is a Contract to Hire position based out of Nashville, TN.
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:
- 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)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on May 1, 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 work together at actalentservices.com.