Jobs in the United States

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Added 3 mins ago
Early Career Consult Program – Cybersecurity Defense Associate
Kyndryl
Frisco, TX
You must also be able to work at our Frisco office 5 days per week
Added 3 mins ago
Associate Cost Analyst
Sargent & Lundy
Amarillo, TX
Monitor and analyze actual project costs, calculate variances between actual and forecasted costs, and gather information to document variance explanations.
Added 4 mins ago
Control Systems Senior Team Lead
Caterpillar, Inc.
Irving, TX
…and coordinates integration across embedded Linux, artificial intelligence, camera-streaming, and machine-platform…
Added 4 mins ago
Snowflake & Analytics Platform Engineer
Toyota
Plano, TX
…environment that supports reporting, visualization, and business intelligence tools such as Tableau and future-generation BI platforms such as AWS QuickSight…
Added 4 mins ago
Data Validation Specialist
Anderson Merchandisers
Plano, TX
…verify progress, through a reporting mechanism by the Artificial Intelligence Project…
Added 5 mins ago
C
Business Process Transformation Senior Manager
CBRE
Dallas, TX
- $110,000 to $120,000 USD / year
Proven ability to analyze, interpret, and document complex business processes and data flows; skilled in creating process maps, reports, and manuals.
Added 5 mins ago
Executive Leader, AI Work Design & Architecture
GE Aerospace
Ft. Worth, TX · Houston, TX
…work, roles, and skills will evolve in the age of artificial intelligence. With a passion for amplifying what our people do best, unlocking new and higher-value work, and growing the human…
Added 5 mins ago
Executive Leader, AI Workforce Capability
GE Aerospace
Ft. Worth, TX · Houston, TX
…work, roles, and skills will evolve in the age of artificial intelligence. With a passion for amplifying what our people do best, unlocking new and higher-value work, and growing the human…
Added 5 mins ago
Leader, AI Workforce Intelligence
GE Aerospace
Ft. Worth, TX · Houston, TX
…work, roles, and skills will evolve in the age of artificial intelligence. With a passion for amplifying what our people do best, unlocking new and higher-value work, and growing the human…
Added 6 mins ago
Technology Support Associate
CrowdStrike
Austin, TX
This position requires onsite presence in our Austin office 5 days per week
Added 7 mins ago
EG
Functional Solution Leader for Individual Productivity and Team Efficiency
Eliassen Group
Austin, TX
- $120 to $135 USD / hour
Lead discovery and alignment with job role stakeholders through workshops, one-on-ones, and document reviews to understand role scope, jobs, goals, and success measures (D2).
Added 7 mins ago
Project Manager/Business Analyst – Digital Health Transformation
Eliassen Group
Austin, TX
…start-up, contracts and budgets, finance, and data management. Document workflows, pain points, and decision…
Added 29 mins ago
CS
SRE Automation Analyst – (w/ active Secret)
Critical Solutions
Norfolk, VA
- $87,000 to $112,000 USD / year
…manual or repetitive processes, define automation opportunities, document requirements, develop and test workflows, and measure realized benefits. The analyst will use scripting,…
Added 36 mins ago
TC
Program Implementation Manager, Global Mobility & Immigration
Turner Construction
Denver, CO
- $40,123 USD / year
- Gather feedback from stakeholders, document current and future state processes, identify gaps, barriers, and opportunities to reduce manual work, improve consistency through automation,…
Added 54 mins ago
Research Associate I, Analytical Development
NKW ImmunityBio Inc
Louisville, CO
Analyze and document experimental data in laboratory notebooks in a timely and accurate manner in accordance with the company guidelines.
Added 1 hour ago
Senior Manager of Digital Quality Systems
Anduril Industries
Costa Mesa, CA
…our homegrown Manufacturing Execution System, and the Quality Intelligence Hub, our centralized analytics and compliance layer built on Databricks. The right person for this role lives at…
Added 1 hour ago
Senior AI/ML Engineer
Node.Digital
Remote, United States
Good understanding of Document Processing, classifcation, data extraction is a must
Added 1 hour ago
AI/ML Engineer (Midlevel)
Node.Digital
Remote, United States
Good understanding of Document Processing, classifcation, data extraction is a must
Added 1 hour ago
Intelligent Automation/AI-ML Engineer
Node.Digital
Remote, United States
The engineer also explores new ways to embed artificial intelligence and machine learning into automations to support continuous improvement, learning and augmented decision making, and…
Added 1 hour ago
Intelligent Automation/AI-ML Engineer (Full Stack Engineer)
Node.Digital
Remote, United States
The engineer will also explore new ways to embed artificial intelligence and machine learning into applications, supporting continuous improvement, learning, and augmented decision making.…
Added 1 hour ago
Research Associate I/II, Protein Sciences
Flagship Pioneering, Inc.
Cambridge, MA
Flagship Labs 109, Inc. (FL109) is a privately held, early-stage technology company pioneering the use of artificial intelligence, physics and hardware to transform the way we see biology.…
Added 2 hours ago
Director, Compliance Operations
University of Maryland Medical System
Linthicum Heights, MD
…management systems, data analytics, automation, and artificial intelligence (AI) to strengthen program effectiveness, reporting, operational efficiency, and decision-making, while…
Added 2 hours ago
Sr. Sales Development Representative
DLT Solutions, LLC
Herndon, VA
Document customer interactions, sales activities, and opportunities accurately in the SMaRT CRM.
Added 2 hours ago
AC
Recruiter I
Aston Carter
Arlington, VA
- $36 USD / hour
Perform exit interviews for departing employees and accurately document feedback and reasons for separation.
Added 3 hours ago
AI Domains Deployment Strategist - Vice President
JPMC page
New York, NY · NY
Help transform how Operations works through artificial intelligence. Work directly with business and technical teams to solve complex operational problems, reimagine workflows and deliver…

Actalent

Remote Pharmacy Technician

Atlanta, GA, United States

$20 to $23 USD / hour

Apply on careers.actalentservices.com About employer

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Job details

Pay: $20 to $23 USD / hour
Posting language: English
Posted: Nov 7, 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 Atlanta, GA. 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 Atlanta, GA. 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 on careers.actalentservices.com 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

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Work requirements

Jobs in the United States