Jobs in the United States

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Added 2 mins ago
Product Architect
Jobgether
Remote, United States
…objectives, covering system configuration, reporting, runtime operations, analytics, and attack…
Added 2 mins ago
Director, Customer Operations
Jobgether
Remote, United States
This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Director, Customer Operations based in United States.
Added 2 mins ago
J
Director of Finance
Jobgether
Remote, United States
- $150,000 to $180,000 USD / year
As Director of Finance, you will oversee financial planning and accounting operations while providing strategic guidance to executive leadership. Your responsibilities will include:
Added 2 mins ago
Cybersecurity for Systems and Networks, Department of Cybersecurity - Adjunct Faculty
Jobgether
Remote, United States
Knowledge of modern cybersecurity tools, network hardening techniques, security operations, and ethical hacking practices.
Added 2 mins ago
Commercial Development Lead - Transportation Sales, West
Jobgether
Remote, United States
…transportation organizations improve infrastructure planning and operations. Working within a specialized transportation team, you will manage complex, relationship-driven sales cycles and…
Added 2 mins ago
Sr. Manager, Government Contracts & Compliance Counsel
Synopsys
Exton, PA
Develop scalable compliance processes, templates, policies, and training to support growing government‑contracting operations.
Added 6 mins ago
Frontend Engineer (AI Experiences), Retail and Marcom Engineering
Apple
Austin, TX
…interactive marketing experiences and tools that keep creative operations moving. Together, those functions deliver the technology behind every product story Apple tells and every purchase…
Added 6 mins ago
DSX Electrical Engineer
NVIDIA USA
CA
Working across DSX engineering, product management, solution architecture, deployment, and developer marketing to align technical content with product capabilities and deployment needs.
Added 7 mins ago
Therapeutic Area Lead, Bone Marrow Transplant, New York
(5100) Genzyme Corporation
New York City, NY · Boston, MA · Philadelphia, PA · Newark, NJ
Support teams across science, medicine, and operations by building better systems, shaping bold strategies, and enabling innovation at speed.
Added 7 mins ago
Area Business Manager - Allergy - Manhattan, NY
(5100) Genzyme Corporation
New York City, NY
Support teams across science, medicine, and operations by building better systems, shaping bold strategies, and
Added 7 mins ago
Rheumatology Key Account Specialist, New England
(5100) Genzyme Corporation
Boston, MA · Portland, ME · Bridgeport, CT · Providence, RI · Concord, NH
Added 16 mins ago
Strategy Principal Director, Data & AI Strategy (Utilities)
Accenture LLP Company
United States
…other organizations build their digital core, optimize their operations, accelerate revenue growth, and enhance citizen services - creating tangible value at speed and scale. We are a…
Added 18 mins ago
P
Gastroenterology Area Business Manager
Pfizer
Jackson, MS
- $139,000 to $280,400 USD / year
Responsible for supervising operations of the district to include hiring, live coaching, virtual coaching, representative development, performance management, and the assignment of key…
Added 19 mins ago
Director Aerospace
ICAT LOGISTICS INC
Remote, United States
…activities supporting ICAT’s global freight forwarding and 3PL operations. This role is responsible for ensuring reliable, complaint, and profitable air cargo capacity across scheduled…
Added 21 mins ago
Senior Product Manager, Constellation Services
Planet
San Francisco, CA
…program management, engineering, ground systems, and satellite operations to design, build, and launch reliable, secure, and scalable…
Added 21 mins ago
Senior Product Manager, Constellation Services
Planet
Arlington, VA
…program management, engineering, ground systems, and satellite operations to design, build, and launch reliable, secure, and scalable…
Added 29 mins ago
Manager, Application Software Engineering
Oracle
United States
…Manages the team to perform periodic maintenance and testing operations for application systems that require upgrading or patching (e.g., for critical…
Added 30 mins ago
NM
Manager, Advanced Practice Provider - Transplant Surgery, Full-time, Days
Northwestern Memorial Healthcare
Chicago, IL
- $80.66 to $108.89 USD / hour
- Full-time
…collaboration with Clinical Practice Director and Director of Operations. Enhances the patient’s experience through the continuum of…
Added 33 mins ago
Co-Founder & CEO - AI Communication Agents for Freight & Logistics
FutureSight Ventures
Remote, United States
…go-to-market motion targeting Heads of Logistics, Supply Chain, and…
Added 33 mins ago
Co-Founder & CEO - AI Communication Agents for Freight & Logistics
FutureSight Ventures
Remote, United States
…go-to-market motion targeting Heads of Logistics, Supply Chain, and…
Added 33 mins ago
Co-Founder & CEO - AI Communication Agents for Freight & Logistics
FutureSight Ventures
Remote, United States
…go-to-market motion targeting Heads of Logistics, Supply Chain, and…
Added 33 mins ago
Co-Founder & CEO - AI Communication Agents for Freight & Logistics
FutureSight Ventures
Remote, United States
…go-to-market motion targeting Heads of Logistics, Supply Chain, and…
Added 33 mins ago
Co-Founder & CEO - AI Communication Agents for Freight & Logistics
FutureSight Ventures
Remote, United States
…go-to-market motion targeting Heads of Logistics, Supply Chain, and…
Added 33 mins ago
Co-Founder & CEO - AI Communication Agents for Freight & Logistics
FutureSight Ventures
Remote, United States
…go-to-market motion targeting Heads of Logistics, Supply Chain, and…
Added 33 mins ago
Co-Founder & CEO - AI Communication Agents for Freight & Logistics
FutureSight Ventures
Remote, United States
…go-to-market motion targeting Heads of Logistics, Supply Chain, and…

Actalent

Remote Pharmacy Technician

San Antonio, TX, United States

$20 to $23 USD / hour

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Job details

Pay: $20 to $23 USD / hour
Posting language: English
Posted: Nov 2, 2026

Original job description

Job Title: Remote Pharmacy Technician Prior Authorization SpecialistJob DescriptionThis role offers an opportunity for a certified Pharmacy Technician to support patients by managing prior authorizations for Medicare and Medicaid prescriptions in a fully remote environment. You will handle both intake and technical review functions, using your pharmacy and managed care experience to determine coverage and ensure patients receive timely access to their medications. This position combines detailed data entry, clinical review, and phone-based customer service while working independently in a structured, supportive team setting.

Responsibilities

Process prior authorization (PA) requests for Medicare and Medicaid patients, with a primary focus on Medicare cases.
Perform intake of MedPharm prior authorization requests by gathering required information and accurately setting up PA cases in internal systems.
Route completed intake cases to the review team and, once trained, perform both intake and technical review functions as needed.
Conduct technical review of PA cases by carefully reading and interpreting criteria, standard operating procedures (SOPs), insurance documents, and medical records.
Make clinical determinations on medication coverage, including whether a prescription should be approved, denied, or covered under specific conditions.
Document all decisions clearly and accurately in the appropriate systems, ensuring compliance with internal policies and regulatory requirements.
Use strong data entry skills to maintain accurate, up-to-date records for each prior authorization case.
Provide customer service over the phone, handling inbound and outbound calls related to prior authorizations and coverage determinations.
Control and guide conversations with callers, redirecting as needed to obtain required information and maintain a professional, efficient interaction.
Collaborate with team members in a remote environment to ensure timely processing of cases and equitable distribution of rotating holiday coverage.
Follow all HIPAA and confidentiality requirements when handling patient information and working in a remote setting.
Participate in training and ongoing development to expand from intake responsibilities into full technical review capabilities.
Adhere to established schedules, including evening and weekend shifts, and manage time effectively during training and regular operations.
Utilize computer systems and software tools efficiently to manage workflow, review documentation, and communicate with colleagues.

Essential Skills

Active Pharmacy Technician certification (such as CPhT) with eligibility to perform pharmacy technician duties.
Pharmacy technician experience, preferably in a managed care or similar environment.
Hands-on experience with managed care or pharmacy benefit processes, including prior authorization workflows.
Strong data entry skills with a high level of accuracy and attention to detail.
Demonstrated experience providing customer service over the phone, including handling calls related to healthcare or pharmacy services.
Ability to control and guide phone conversations, redirect discussions when necessary, and maintain a calm, professional demeanor.
Proficiency with computers and common software tools, including the ability to learn and navigate multiple systems simultaneously.
Ability to work independently and effectively in a fully remote environment with minimal direct supervision.
Strong reading comprehension skills to interpret criteria, SOPs, insurance policies, and medical documentation.
Capability to make sound clinical coverage determinations within the scope of a pharmacy technician role.
Reliable high-speed internet connection and the technical ability to support remote work requirements.

Additional Skills & Qualifications

Previous experience working with Medicare and Medicaid patient populations.
Background in a pharmacy setting that involved claims processing, insurance coordination, or prior authorizations.
Familiarity with MedPharm or similar prior authorization platforms and workflows.
Experience in managed care pharmacy, including understanding of coverage criteria and benefit structures.
Strong organizational skills and the ability to manage multiple cases and priorities in a fast-paced environment.
Effective written and verbal communication skills for documenting decisions and interacting with patients, providers, and team members.
Comfort working flexible schedules, including evenings, weekends, and rotating holiday coverage.
Interest in long-term opportunities that may include conversion to a permanent role with access to holiday benefits, paid time off, flexibility, and other benefits, subject to employer policies.

Work EnvironmentThis is a 100% remote position that requires working from a closed-door setting with limited distractions to maintain confidentiality and productivity. The work environment must be fully HIPAA compliant, and you must have strong, reliable Wi-Fi to support continuous system access, calls, and documentation. Training is conducted Monday through Friday from 10:00 a.m. to 6:30 p.m. Eastern Time. After training, schedules follow either a SundayThursday or TuesdaySaturday pattern. For a SundayThursday schedule, preferred hours are 12:008:30 p.m. or 12:309:00 p.m. Eastern Time, with Sunday shifts typically 8:00 a.m. to 4:30 p.m. Eastern Time. For a TuesdaySaturday schedule, preferred hours are 12:309:00 p.m. Eastern Time on Tuesday through Friday, with Saturday shifts typically 8:00 a.m. to 4:30 p.m. Eastern Time. Holiday coverage rotates among team members. Lunch breaks range from 30 minutes to approximately one hour, coordinated with operational needs. The role relies heavily on computer-based systems, electronic documentation, and phone communication, and you will work as part of a culturally strong, supportive team that values flexibility, benefits, and a positive internal environment. Job Type & LocationThis is a Contract to Hire position based out of San Antonio, TX. Pay and BenefitsThe pay range for this position is $20.00 - $23.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.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) Job Type & LocationThis is a Contract to Hire position based out of San Antonio, TX. Application DeadlineThis position is anticipated to close on Nov 17, 2026. Workplace TypeThis is a fully remote position.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 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

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 for other accommodation options.

San Francisco Fair Chance Ordinance:

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector:

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI):

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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More about this job

Skills

Pharmacy technician
Data entry
Regulatory compliance
Communicate with customers
Confidentiality
Manage time
Workflow
Documentation
Attention to detail
Customer service
Work independently
Claims processing
Organizational skills
Communication skills

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