Location: Fort Worth,TX, USA
Remote Pharmacy Technician
Reviewing Prior Authorizations for determination for a Pharmacy Services department
Must either approve or deny and then send them to a pharmacists for final review
Handling all health plans, and all types of medications
Handling some phone calls from members - inbound call
Track 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
Qualifications
Must have a minimum of High School Diploma or GED
Must hold an active Pharmacy Technician license as required by state of operation
Experience retail pharmacy, hospital, or specialty pharmacy environments
Must be able to type 40 WPM
Shift
Must have availability Monday-Friday between 8am-8pm in your respective time zone for an 8 hour shift. Overtime available.
Rotating weekends (will enter into a rotation for weekends, won't be working every weekend or every other weekend, but every 4-6 weeks)
Must be able to work some holidays
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 ...@actalentservices.com for other accommodation options.