Jobs in the United States

25+ jobs

Save this search

Added just now
Registered Nurse Manager Pediatric Trauma Care Program
Ascension
Indianapolis, IN
…cost containment issues, implementation of new services, and systems/performance…
Added just now
CO
Senior Management Analyst - Probation Department (Open and Promotional)
County of San Mateo
San Mateo, CA
- $67.18 to $84 USD / hour
Proven expertise in utilizing systems such as Power BI and Microsoft Office.
Added just now
Network Strategy Director(Preferred Experience In Managed Care)
CareSource Management Services LLC
Remote, United States
Lead negotiation of CareSource's largest and most strategically significant provider agreements - major health systems, multi-market IDNs, and national/DME vendor contracts - often…
Added just now
Network Strategy Director(Preferred Experience In Managed Care)
CareSource Management Services LLC
Remote, United States
Lead negotiation of CareSource's largest and most strategically significant provider agreements - major health systems, multi-market IDNs, and national/DME vendor contracts - often…
Added 1 min ago
Forward Deployed Engineer, Higher Education, Google Public Sector
Google
Sunnyvale, CA
Serve as a developer for complex AI applications, transitioning from rapid prototypes to production-grade agentic workflows (e.g., multi-agent systems, MCP servers) that drive measurable…
Added 1 min ago
Senior Software Engineer, Infra, Auctions and Prediction Stack
Google
Mountain View, CA
3 years of experience with developing large-scale infrastructure, distributed systems or networks.
Added 1 min ago
Senior Staff Software Engineer, Network Management
Google
Sunnyvale, CA
Experience in networking and systems infrastructure.
Added 1 min ago
Senior Software Engineer, AI Developer Tools
NVIDIA USA
CA
…powerful tools for seamlessly deploying and managing local AI systems for…
Added 2 mins ago
Branch Manager
Dexter
Cordele, GA
…and manufactured housing markets. We’re building products and systems that are rooted in a culture of safety, collaboration, and…
Added 2 mins ago
Maintenance Chief $500 Hiring Bonus!
at Marriott
Clive, IA · Des Moines, IA · West Des Moines, IA
…generator run test. Inspect fire sprinkler valves and alarm systems. Assist in development of disaster response protocols. Respond and attend to guest repair…
Added 2 mins ago
HA
Quality Leader - IGT
Howmet Aerospace
Hampton, VA
- $67,000 to $124,000 USD / year
Howmet Engine Systems is currently seeking an experienced professional to join our team in Hampton, Virginia. Are you an empowered partner with the drive to transform ideas into sustainable…
Added 3 mins ago
Tank Washer VB - Shipping and Receiving (1st Shift)
( ) Simmons Foods
Van Buren, AR
Simmons Operating systems principles and objectives: Is familiar with Simmons’ established operating systems (e.g. quality, security, office environment, company policies); understands the…
Added 4 mins ago
C
Warehouse Associate
cargill
Big Lake
- $21.15 USD / hour
Familiarity with scanning systems or inventory tracking tools.
Added 4 mins ago
Payroll & HRIS Analyst
Triangle Fasteners Inc
Pittsburgh, PA
Experience in Workday or other HRIS/ERP systems
Added 5 mins ago
Support Services Coordinator - Anatomic Pathology Records
University of Iowa
IA
· Utilizes laboratory and health system information systems to support operations, resolve issues, and implement process improvements.
Added 6 mins ago
Board Certified Behavior Analyst (BCBA)
Teach Me Personnel LLC
Colleyville, TX
Data-Driven Treatment: Design, monitor, and evaluate data collection systems to analyze treatment efficacy and pivot plans in real-time.
Added 6 mins ago
JR
In-Home Behavioral Monitor (BA Level)
Justice Resource Institute
Gloucester, MA
- $24 to $28 USD / hour
Must have excellent oral and written communication skills, along with a familiarity with technology and a willingness to learn different electronic systems.
Added 6 mins ago
IHBS Clinical Internship (BA Level)
Justice Resource Institute
Gloucester, MA
Candidates must have excellent oral and written communication skills, comfort with technology and learning various electronic systems.
Added 7 mins ago
Sourcing Associate, Nike Mens & THUM
USA-CALVIN KLEIN INC
New York, NY
· Collaborate with category manager and PVH offshore offices to ensure deliverables are being met and systems are updated
Added 7 mins ago
TC
Key Carrier Coordinator
TJX Companies
Hattiesburg, MS
- $14 to $14.5 USD / hour
Knowledge of company standard software, systems, and procedures
Added 7 mins ago
Manager - Facilities
Catalent
Madison, WI
…biopharmaceutical development, utilizing flexible single‑use systems to enable rapid scale‑up and customization. The site is home to Catalent’s proprietary GPEx® and GPEx® Lightning…
Added 7 mins ago
VH
Medical Records Technician (Coder) Auditor
Veterans Health Administration
Remote, United States
- $69,905 to $90,882 USD / year
Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology…
Added 7 mins ago
VH
Horticulturist (NCWI)
Veterans Health Administration
Los Angeles, CA
- $87,061 to $113,185 USD / year
Maintain irrigation systems, tools, equipment, and farm facilities; ensure safety and longevity of therapeutic and healing gardens.
Added 7 mins ago
VH
Administrative Officer
Veterans Health Administration
Walla Walla, WA
- $89,508 to $116,362 USD / year
Monitors and analyzes changes in VHA and VISN goals and performance measures and helps develop proactive strategies and systems to address them.
Added 7 mins ago
VH
Management & Program Analyst
Veterans Health Administration
Phoenix, AZ
- $52,783 to $83,938 USD / year
Applies systems redesign, rapid-cycle improvement, and operational management principles to enhance clinic efficiency.

Actalent

Remote Pharmacy Technician

San Antonio, TX, United States

$20 to $23 USD / hour

Apply About employer

Applications open in a new tab.

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.

Apply About employer

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

Report this job