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Job description
Actalent is hiring a 100% Remote Pharmacy Technician
Job Description
We are seeking a dedicated Pharmacy Technician to join our Appeals department. In this role, you will work primarily with Medicare and Medicaid patients, focusing on denied Prior Authorizations. Your main responsibility will be to review case information, gather additional details if necessary, and forward cases to Pharmacists for final determinations. This role is crucial in helping our patients navigate their healthcare needs.
Responsibilities
- Review case information and reach out for additional data when needed.
- Send cases to Pharmacists for final determination on Prior Authorizations.
- Make 30-60 outbound calls per shift to Medicare/elderly members regarding denied medications.
- Manage conversations with patience and empathy, controlling the dialogue and redirecting as necessary.
Essential Skills
- Valid pharmacy technician license.
- Experience in appeals and managed care processes.
- Proficiency in handling claims and denials.
- Strong data entry skills.
Additional Skills & Qualifications
- Excellent customer service skills over the phone.
- Ability to handle challenging conversations with elderly patients.
Work Environment
The position involves making outbound calls, primarily to Medicare patients, regarding their denied medication requests. You will work in a fast-paced environment that requires empathy, patience, and excellent communication skills. Expect to work with a dedicated team of professionals committed to supporting patient needs.
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 13, 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.
