Jobs in the United States

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Added 1 min ago
Lead Digital Producer
Pinterest
Remote, United States
…at the intersection of Creative, Technology, Marketing, and Operations, partnering closely with Digital Strategy, Design, and cross-functional teams to turn business and creative ambition…
Added 1 min ago
AI Security Specialist
PNC
Lakewood, CO · Birmingham, AL · Pittsburgh, PA · Strongsville, OH · Phoenix, AZ
-Security Operations / Cloud / Identity: GCIH, Microsoft SC-200, AWS Certified Security – Specialty
Added 1 min ago
Vice President of US Operations
Brodie Rec League
Dallas, TX
Brodie Operations runs every league night for Brodie Rec. League, supporting a rapidly growing sports brand operating across 30+ North American cities and serving more than 50,000 athletes.
Added 3 mins ago
Head of Auto Physical Damage
United Auto Insurance
Miami, FL
At United Auto Insurance Company Head of Auto Physical Damage is a senior Claims Operations leader responsible for the strategic direction, operational performance, financial results,…
Added 4 mins ago
Product Developer - Assistant Vice President
Citi
GETZVILLE, NY · Getzville, NY · Getzville
…controlled in accordance with the Firm’s risk policies. The Product Developer’s role is responsible for the planning and execution of priority projects consistent with these…
Added 5 mins ago
Electrical Engineering Manager
Sargent & Lundy
Chicago, IL
Coordinate systems design activities to ensure installation and operations will comply with specifications, codes, and client requirements.
Added 5 mins ago
Lead Electrical Engineer -- Energy & Industrial Group
Sargent & Lundy
Clayton, MO
Coordinate systems design activities to ensure installation and operations will comply with specifications, codes, and client requirements.
Added 5 mins ago
Lead Electrical Engineer
Sargent & Lundy
Chicago, IL
Coordinate systems design activities to ensure installation and operations will comply with specifications, codes, and client requirements.
Added 5 mins ago
Lead Electrical Engineer
Sargent & Lundy
Casper, WY
Coordinate systems design activities to ensure installation and operations will comply with specifications, codes, and client requirements.
Added 5 mins ago
Lead Electrical Engineer
Sargent & Lundy
Boise, ID
Coordinate systems design activities to ensure installation and operations will comply with specifications, codes, and client requirements.
Added 5 mins ago
Electrical Engineer Manager
Sargent & Lundy
Boise, ID
Coordinate systems design activities to ensure installation and operations will comply with specifications, codes, and client requirements.
Added 5 mins ago
E
Production Specialist
ECRI
Remote, United States
- $36.75 to $41.71 USD / hour
Added 5 mins ago
Quantitative Engineer
Bank of America, National Association
United States
…Computer Science, Statistics, Process and Mechanical Engineering, Operations Research, Data Science (or equivalent work…
Added 5 mins ago
GTM Engineer
RedBlack
Atlanta, GA
…advice firms of all sizes to enhance their value, streamline operations, and drive growth. Trusted by the wealth management industry for over 15 years, RedBlack supports more than $1…
Added 5 mins ago
Senior Associate, Lead RPG Developer
New York Life
Tampa
As a Senior Associate, Lead RPG Developer; your primary responsibilities will be to direct other developers and support the development and maintenance of cost-effective application…
Added 6 mins ago
Associate Director, Marketing Operations
Brandeis University
United States
Brandeis University is looking to hire an Associate Director, Marketing Operations. The Associate Director, Marketing Operations is a senior-level individual contributor responsible for the…
Added 6 mins ago
Supplier Quality Engineer
Ametek, Inc.
Binghamton, NY
…and repeat nonconformances; coordinate recovery plans with Operations, Materials, Engineering, Receiving Inspection, and…
Added 7 mins ago
Business Systems Manager
City of Greeley
Greeley, CO
…applications and related enterprise business systems that support City operations and service…
Added 8 mins ago
B
MarTech Project Manager
Blend360
New York City, NY
- $75 to $80 USD / hour
Added 8 mins ago
Risk Data Scientist
Flexcar
Downtown Boston, MA
…role. You’ll work closely with our Risk, Finance, Product, and Operations teams and have significant influence over how we balance growth against risk…
Added 9 mins ago
Senior Assistant Property Manager
Bozzuto
Alexandria, VA
…within our communities or the expertise across our property operations teams, we work together to make extraordinary happen for our clients, residents and fellow team…
Added 9 mins ago
Maintenance Technician
Bozzuto
Dorchester, MA
…within our communities or the expertise across our property operations teams, we work together to make extraordinary happen for our clients, residents and fellow team…
Added 9 mins ago
Assistant Maintenance Manager
Bozzuto
West Palm Beach, FL
…within our communities or the expertise across our property operations teams, we work together to make extraordinary happen for our clients, residents and fellow team…
Added 9 mins ago
K
Production Operator - Nights
Kerry
Rhinelander, WI
- $21.86 USD / hour
Handle and move product, including loading operations and use of material handling equipment
Added 10 mins ago
Go-To-Market Leader: Data Analytics - Life Sciences
ManpowerGroup
WI
Experience leading Data & AI initiatives supporting clinical development, drug discovery, commercial analytics, real-world evidence, regulatory operations, or supply chain transformation.

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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