Jobs in the United States

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Added 1 min ago
Talent & Performance Management Consultant – Selection & Assessment Team
Wells Fargo Bank, N. A.
CHARLOTTE, NC · PHOENIX, AZ · WEST DES MOINES, IA · SAN ANTONIO, TX · MINNEAPOLIS, MN · IRVING, TX
Partner in the design, development, and implementation of scalable, data-informed assessment solutions.
Added 1 min ago
ST
Senior System Integration and Test Engineer
Silvus Technologies, Inc.
Irvine, CA
- $130,000 to $180,000 USD / year
…and reliable connectivity, including video and high-bandwidth…
Added 1 min ago
Senior Talent & Performance Management Consultant – Selection & Assessment Team
B10 Wells Fargo Bank, N. A.
CHARLOTTE, NC · PHOENIX, AZ · WEST DES MOINES, IA · SAN ANTONIO, TX · MINNEAPOLIS, MN · IRVING, TX
Design, validate, and implement selection and assessment tools and processes that improve quality of hire, strengthen predictive insights, and support consistency in talent decisions.
Added 1 min ago
Senior Product Analyst
B10 Wells Fargo Bank, N. A.
CHARLOTTE, NC · MINNEAPOLIS, MN
Lead complex product and transformation of workstreams involving multiple business, technology, risk, operational, data, and vendor dependencies.
Added 1 min ago
Senior Data Engineer
Machinify
Remote, United States
Machinify builds AI-powered software that helps health plans pay claims accurately. As a Senior Data Engineer, you will design, build and run the data pipelines and models behind our…
Added 2 mins ago
C|
Financial Analyst Accountant
Careers | Mason
Sylmar, CA
- $90,000 to $120,000 USD / year
…standards to join us in doing work that moves the world forward. We design, manufacture, and market highly engineered products and systems principally for the aerospace and defense markets.…
Added 3 mins ago
Clinical Sales Specialist, Electrophysiology - LAAO (Houston, TX)
St Jude Medical S C Inc
TX
Our business purpose is to restore health and improve quality of life through the design and provision of device and management solutions for the treatment of Structural Heart disease.
Added 3 mins ago
Clinical Sales Specialist, Electrophysiology – LAAO (East Texas)
St Jude Medical S C Inc
TX
Our business purpose is to restore health and improve quality of life through the design and provision of device and management solutions for the treatment of Structural Heart disease.
Added 3 mins ago
Sr. Equipment and Automation Engineer
Exact Sciences Corp
WI
Networks machines, provides relevant machine data for Process Monitoring databases, and creates dashboards for Operations metrics.
Added 3 mins ago
Senior Systems Engineer
Lingo US Inc
CA
We are seeking a Systems Engineer to lead design and development efforts across our cloud, and mobile platforms within a regulated medical device environment. This role is based in Alameda,…
Added 3 mins ago
Senior Clinical Site Lead
St. Jude Medical Business Services, Inc.
IL · OH · NY
…manage, and influence all aspects of site’s recruitment and data collection performance (enrollment, discrepancy resolution, compliance, etc.). The individual proactively utilizes…
Added 3 mins ago
Clinical Site Lead
St. Jude Medical Business Services, Inc.
IL · OH · IN
…manage, and influence all aspects of site’s recruitment and data collection performance (enrollment, discrepancy resolution, compliance, etc.). The individual proactively utilizes…
Added 3 mins ago
PPL Commissioning Engineer
CB&I
Plainfield, IL
Experience in home office for systemization, design reviews, procedure and/or manual development
Added 3 mins ago
HR Business Partner - Technology
Mill
San Bruno, CA
Be the first call for engineering and product leaders on team design, hiring plans, performance and employee relations.
Added 3 mins ago
Community Affairs Manager
Nscale
United States
Design and deliver a structured community engagement program for the project.
Added 3 mins ago
KU
Registered Nurse Med Surg (Part Time, Nights) Washington Township, NJ
Kennedy University Hospitals, Inc
Gloucester County, NJ
- Part-time
Uses information technology to communicate, manage knowledge, mitigate error, and support ethical decision making. Uses data to monitor the outcomes of care processes and uses improvement…
Added 4 mins ago
RN PT Night Moss Magee Rehab DOYLESTOWN
Albert Einstein Medical Center
Bucks County, PA
Uses information technology to communicate, manage knowledge, mitigate error, and support ethical decision making. Uses data to monitor the outcomes of care processes and uses improvement…
Added 4 mins ago
ET
Senior Systems Engineer
EUV Tech
Martinez, CA
- $150,000 to $175,000 USD / year
The Senior Systems Engineer will refine hardware, software, and controls based on meticulously tested performance data, ensuring the reliability of integrated components in EUV Tech tools.…
Added 4 mins ago
RN Levy 4 Med/Surg FT Night EINSTEIN
Albert Einstein Medical Center
Philadelphia, PA
Uses data to monitor the outcomes of care processes and uses improvement methods to design and test changes to continuously improve the quality and safety of patient care. Functions…
Added 4 mins ago
RN 3E Surgery Unit FT R CENTER CITY
Thomas Jefferson University Hospitals, Inc.
Philadelphia, PA
Uses information technology to communicate, manage knowledge, mitigate error, and support ethical decision making. Uses data to monitor the outcomes of care processes and uses improvement…
Added 4 mins ago
Work Study Student
Philadelphia University
Philadelphia, PA
…events and programs, providing front-line customer service, data entry, filing, light research assistance, technology support, or other general support…
Added 4 mins ago
TT
Head of Talent
True Talent Solutions Partners
California, CA
- $185,000 to $225,000 USD / year
- Personally source and close engineering candidates while recruiting across go-to-market, product, design, and operations roles.
Added 4 mins ago
TT
AI Scheduler
True Talent Solutions Partners
San Francisco, CA
- $140,000 to $200,000 USD / year
…that combine 3D models with project timelines and planning data, drawing on real-world construction judgment to improve how complex projects are planned and…
Added 5 mins ago
Environmental Engineer
Hoffman Construction Company
Boise, ID · ID
Experience with design software such as AutoCAD, Revit and Navisworks.
Added 5 mins ago
090 Audit - Senior Lead Auditor
Bank of Labor
Mission, KS
…or findings to the Audit & Compliance Committee.Assess the design and effectiveness of internal controls.Provide support, as assigned, to the Internal Control over Financial Reporting…

Actalent

Remote Pharmacy Technician

Newark, NJ, United States

$20 to $23 USD / hour

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Job details

Pay: $20 to $23 USD / hour
Posting language: English
Posted: Nov 3, 2026

Original job description

Job Title: Remote Pharmacy Technician Prior Authorization SpecialistThis is a 100% remote position that requires working from a closed-door setting with limited distractions to maintain confidentiality and productivity.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.

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.

Work Environment

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.

Job Type & LocationThis is a Contract to Hire position based out of Newark, NJ. 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 Newark, NJ. 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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