Experience Inc. Jobs

Job Title: Pharmacy Technician

Job Description

Using established company guidelines, the Pharmacy Technician reviews requests made by physicians, medical groups, pharmacies, and members for the use of prescription drugs and pharmacy benefits. The technician researches and resolves questions, problems, or issues. May consult with Clinical Pharmacists or Regional Medical Director on related issues. Tracks and triages coverage determination and/or prior authorization requests submitted from providers and determines if a pharmacist review is required. Obtains verbal authorizations and requests detailed clinical information from prescribers. Approves coverage determination and/or prior authorization requests based on defined criteria. Enters and documents coverage determination and/or prior authorization request decisions into the PBM system and notifies providers and/or clients regarding authorization approvals and PBM online applications. Refers coverage determination requests for specialty drugs to a delegated vendor or client for processing. Contacts providers for additional information to facilitate coverage determination reviews.

Hard Skills

• 1+ years of retail, hospital, or mail-order pharmacy experience

• Computer literacy

• Knowledge of Excel

• Prior authorization experience (highly preferred)

Work Site

This is a fully remote position.

Work Environment

Remote, team meetings on camera, need to be able to work independently.

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.