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Added 1 min ago
Director of Boardwalk
Pyramid Global Hospitality
Oklahoma City, OK
The Director, Boardwalk Food and Beverage is a sales-driven leader responsible for growing restaurant revenues, increasing local dining traffic, and overseeing the performance,…
Added 2 mins ago
FA
Electronics Engineer
Federal Aviation Administration
Atlantic City, NJ
- $123,171 to $190,953 USD / year
…activities under the minimal direction of a manager, project/program manager, team leader, or more experienced engineer. May act as a principal technical specialist or as a project/program…
Added 2 mins ago
DF
IT SPECIALIST (APPSW)
Defense Finance and Accounting Service
Cleveland, OH · Whitehall, OH · Indianapolis, IN
- $107,428 to $144,481 USD / year
Serve as a project leader or consultant involved with all phases of the life cycle of a major financial automated information system. | Provides technical guidance, assists in determining…
Added 5 mins ago
NP
MAINTENANCE WORKER (TRAILS)
National Park Service
Crescent City, CA · Orick, CA
- $28 to $33 USD / hour
…AmeriCorps, Youth Opportunity Center (YOC) or in the absence of a leader or supervisor, incumbent is responsible in leading diverse volunteers in assigned trail maintenance and construction…
Added 5 mins ago
Supplemental - Head Football Coach
Florence County School District 03
LAKE CITY, SC
Florence School District Three is seeking a dynamic, experienced, and student-centered leader to serve as Head Varsity Football Coach at Lake City High School in Lake City, South Carolina
Added 5 mins ago
VH
Physician (Primary Care) - Recruitment/Relocation Incentive/EDRP Authorized
Veterans Health Administration
Corpus Christi, TX · Harlingen, TX
- $210,000 to $245,000 USD / year
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Added 8 mins ago
Product Marketing Manager - TAVI
St. Jude Medical Business Services, Inc.
MN
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Added 8 mins ago
Specialist, Accounting - AFS Close Allocations
Nationwide Life and Annuity Insurance Co
OH
This role does not qualify for employer sponsored work authorization. Nationwide does not participate in the STEM OPT extension program.
Added 8 mins ago
Mutual Fund Pricing - REMOTE
Nationwide Life and Annuity Insurance Co
OH · AZ
Added 9 mins ago
ME
CDL B Vacuum Truck Driver Hamilton OH
MIDWEST ENVIRONMENTAL SERVICES INC
Hamilton, OH
- From $26 USD / hour
…site remediation. Midwest prides itself on being an industry leader in providing expert Hazardous and Non-Hazardous Transportation needs for a wide range of industries…
Added 9 mins ago
ME
CDL B Vacuum Truck Driver Louisville KY
MIDWEST ENVIRONMENTAL SERVICES INC
Louisville, KY
- From $26 USD / hour
…site remediation. Midwest prides itself on being an industry leader in providing expert Hazardous and Non-Hazardous Transportation needs for a wide range of industries…
Added 9 mins ago
Environmental Service Technician Louisville KY
MIDWEST ENVIRONMENTAL SERVICES INC
Louisville, KY
…site remediation. Midwest prides itself on being an industry leader in providing expert Hazardous and Non-Hazardous Transportation needs for a wide range of industries…
Added 9 mins ago
Environmental Project Supervisor Indianapolis IN
MIDWEST ENVIRONMENTAL SERVICES INC
Greenfield, IN
…site remediation. Midwest prides itself on being an industry leader in providing expert Hazardous and Non-Hazardous Transportation needs for a wide range of industries…
Added 9 mins ago
ME
CDL Driver Class A Environmental Waste 1st Shift Louisville, KY
MIDWEST ENVIRONMENTAL SERVICES INC
Louisville, KY
- From $30 USD / hour
Added 10 mins ago
233-2026: Asst Girls Wrestling
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…as a vital extension of the classroom. We are looking for a leader who is committed to the holistic development of student-athletes, prioritizing the cultivation of life skills, emotional…
Added 11 mins ago
Sr. Manager, Strategy
Johnson & Johnson Services Inc. Legal Entity
Raynham, MA · New Brunswick, NJ · West Chester, PA · Palm Beach Gardens, FL · Warsaw, IN
Added 12 mins ago
Browse and Forage Coordinator
Natural and Cultural Resources
Randolph County, NC
…Browse and Forage Coordinator is the subject matter expert and program leader responsible for the development, implementation, and daily management of the North Carolina Zoo's Browse and…
Added 13 mins ago
Sales Program Specialist, Network Performance & Security (NPS)
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Colorado Springs, CO
Keysight Technologies is a global technology leader providing electronic measurement solutions, software, and services that enable engineers and innovators to bring the next generation of…
Added 15 mins ago
Senior Vice President, Sales - Americas
Zappi
Boston, MA
We’re looking for an exceptional commercial leader to shape the next phase of Zappi’s growth across the Americas.
Added 18 mins ago
Software Development Manage, Prime Video Title Promotions and Personalization
Amazon.com Services LLC
Seattle, WA
As a Prime Video technology leader, you’ll have end-to-end ownership of the product, user experience, design, and technology required to deliver state-of-the-art experiences for our…
Added 18 mins ago
Auto Body Technician
Carubba Collision Corp.
United States
Successful completion of technical school program OR a 3-year apprenticeship as an auto body repairer.
Added 22 mins ago
Design Associate - Architecture - Charlotte, NC
Military Spouse Jobs & VetJobs
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Responds to field/construction questions as directed by discipline leader.
Added 24 mins ago
Sales Representative
Performance Food Group
GA
Core-Mark continues to grow as the industry leader in fresh and broadline solutions for the convenience retail industry. With a reputation for empowering customers, employees, and…
Added 24 mins ago
PF
Merchandiser
Performance Food Group
NC
- $20 USD / hour
Core-Mark continues to grow as the industry leader in fresh and broadline solutions for the convenience retail industry. With a reputation for empowering customers, employees, and…
Added 24 mins ago
Energy Credits Senior Manager - TCIA
Cherry Bekaert
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…equity investment consulting services for clients. You will be a leader in a team comprised of professionals with significant experience in the credits and incentives space. We are looking…

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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