Certified Pharmacy Technician

Actalent is Hiring a Team of Pharmacy Technicians - Fully Remote!! Must Have National Certification!!

Job Description

This remote Pharmacy Technician role focuses on reviewing and processing prior authorizations for a large healthcare insurance pharmacy services department. You will evaluate prescription exception requests, determine whether to approve or deny them based on established criteria, and route them to a pharmacist for final review. The position involves working with all health plans and a wide range of medications, supporting both members and prescribers through claim resolution, outreach, and issue escalation.

Responsibilities

• Review prior authorization requests for pharmacy services to determine whether to approve or deny based on established guidelines and criteria.
• Submit all prior authorization decisions to a pharmacist for final review and sign-off.
• Process prescription exceptions, including resolving claim rejects and addressing member and physician concerns.
• Enter accurate member demographics and prescription information into the data processing system and related platforms.
• Research and resolve rejected insurance billing issues, including complex or escalated cases.
• Escalate clinical or interpretation questions regarding prescriptions to a pharmacist for clarification and direction.
• Assist with inbound and outbound calls with patients, members, and physicians to obtain information, provide status updates, and resolve issues.
• Handle pharmacy benefit questions and prescription benefit inquiries in a professional, service-oriented manner.
• Work efficiently in a high-volume, remote environment using multiple screens and systems simultaneously.
• Maintain confidentiality of member information and comply with all applicable pharmacy and insurance regulations.
• Participate in scheduled training, follow established workflows, and adhere to department performance and quality standards.
• Support rotating weekend and holiday coverage as part of the team schedule.

Additional Skills & Qualifications

• Current national pharmacy technician certification (such as PTCB or NHA).
• Current registration as a pharmacy technician in the state of residence.
• High school diploma or GED.
• Experience in a call center or pharmacy benefit management (PBM) environment.
• Experience as a pharmacy technician in environments such as retail pharmacy, hospital, specialty pharmacy, call center, or pharmacy benefit management (PBM).
• Background in hospital or specialty pharmacy settings.
• Strong attention to detail and accuracy when entering data and processing claims.
• Ability to manage a high volume of work while maintaining quality and compliance.
• Comfort working in a fully remote, professional environment with minimal direct supervision.
• Interest in long-term career growth within a large, nationwide healthcare organization.
• Ability to adapt to changing schedules, including participation in a holiday bid process for coverage.

Work Environment

This is a fully remote, professional pharmacy services position. You will work from your own dedicated office space with a closed door to ensure privacy and focus. A reliable high-speed Wi‑Fi connection and a smartphone are required. The company provides core equipment, including a computer, monitor, and headset. Training runs from 10:00 a.m. to 6:30 p.m. Eastern Time; after training, you will transition to a regular shift within the Monday–Friday 8:00 a.m. to 8:00 p.m. window in your local time zone. The schedule includes rotating weekend shifts approximately every 4–6 weeks and some holiday coverage, with holiday schedules assigned through a bidding process. You will work in multiple systems and across several screens, handling pharmacy benefit and prior authorization tasks in a structured, metrics-driven environment. The role offers the potential to convert to a permanent position, providing long-term career stability and access to benefits and paid time off upon becoming permanent.

This is a Contract to Hire position based out of Raleigh, NC.

The pay range for this position is $20.00 - $23.00/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 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.