Jobs in the United States

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Added 1 min ago
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Software Development Manager
Oracle
Charleston, WV
- $112,800 to $264,100 USD / year
Provide technical direction, review architecture and design decisions, and ensure solutions meet security, scalability, reliability, and compliance requirements.
Added 1 min ago
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Senior Platform Software Engineer - OCI
Oracle
Charleston, WV
- $92,500 to $209,500 USD / year
Design software solutions that meet business, security, operational, and performance objectives, driving technical design discussions from concept through production deployment.
Added 1 min ago
Staff Full-stack Engineer - Shopping (Remote-eligible)
Capital One
Charleston, WV
…experts in their domains, helping devise practical and reusable solutions to complex problems. You will drive innovation at multiple levels, helping optimize business outcomes while…
Added 1 min ago
Senior Staff Engineer - Agentic Identity
Cisco
Charleston, WV
Deliver Developer Tooling & APIs: Build reusable APIs, SDKs, CLI tools, and integration patterns (including Model Context Protocol/MCP-based access) to enable seamless adoption across…
Added 1 min ago
Data Scientist 1
Baylor Scott & White Health
Charleston, WV
AI solutions for complex healthcare problems. Serving as both a data scientist and a consultative partner, you
Added 1 min ago
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Senior Business Systems Analyst
Akamai Technologies, Inc.
Charleston, WV
- $88,900 to $160,100 USD / year
Do you thrive on creating innovative solutions to solve problems?
Added 1 min ago
Analytics Developer 1
Baylor Scott & White Health
Charleston, WV
Examine business requirements and source systems to design solutions using various tools. Produce the requested deliverables using the best analytic tools and efficient processes.
Added 1 min ago
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Senior Applied Scientist
Oracle
Charleston, WV
- $113,000 to $234,600 USD / year
…will be pivotal in delivering our new Generative AI-powered solutions for healthcare and enterprise…
Added 1 min ago
AT
Senior Business Systems Analyst
Akamai Technologies, Inc.
Charleston, WV
- $88,900 to $160,100 USD / year
Would you like to influence how business processes and enterprise applications evolve through innovative solutions?
Added 1 min ago
Director Supply Chain Business Operations
Intermountain Health
Charleston, WV
…but not limited to Oracle PeopleSoft and e-Business Suite ERP solutions, timekeeping and scheduling software, e-commerce software, handheld devices, as well as other Financial, Supply…
Added 1 min ago
Product Marketing Manager
Meta
Charleston, WV
…driving market requirements and go-to-market plans for Meta’s solutions across our advertiser interfaces for all advertisers using our platform. This includes assessing market needs,…
Added 1 min ago
Buyer I or II
Intermountain Health
Charleston, WV
Continuous improvement mindset and ability to analyze problems, recommend, and implement solutions.
Added 1 min ago
Regulatory Readiness Program Manager
Meta
Charleston, WV
Added 1 min ago
Senior Field Sales Manager, SaaS *Remote*
Wolters Kluwer
Charleston, WV
…leading providers of tax, accounting and audit information, solutions and services to accounting firms, corporate tax and auditing departments, federal and state government agencies,…
Added 1 min ago
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AI-Augmented Data Analyst
Cognizant
Charleston, WV
- $115,000 to $135,000 USD / year
…engineers, and technology partners to deliver advanced analytics solutions that improve business outcomes, operational efficiency, and customer…
Added 1 min ago
Network Development Manager
Meta
Charleston, WV
Support the identification and evaluation of new fiber routes and capacity solutions, partnering with Network Planning and engineering teams to gather requirements and assess feasibility of…
Added 1 min ago
Product Manager - Technical
Intermountain Health
Charleston, WV
…development and management of technology-driven products and solutions that support our health plan operations. Collaborates with cross-functional teams, including software developers,…
Added 1 min ago
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Customer Service / Healthcare Claims Rep (Seasonal; Remote)
Concentrix
Charleston, WV
- $15 to $18 USD / hour
…game-changers to deliver exceptional customer experiences and solutions for one of the world’s best-known brands. If you're ready to grow with a Fortune 500 company with an inclusive,…
Added 1 min ago
EG
Solutions Architect - Wire Payments
Eliassen Group
Charleston, WV
- $90 to $100 USD / hour
Our client seeks a Solutions Architect to support an expansion of a high-value payments and wire processing engagement leveraging Money Transfer System (MTS). The consultant will interpret…
Added 1 min ago
EG
Senior Director of Finance
Eliassen Group
Charleston, WV
- $85 to $95 USD / hour
…through our technology, business advisory, and life sciences solutions. For nearly 40 years, we have combined exceptional people, deep domain expertise, and intelligent capabilities to…
Added 4 mins ago
Senior Routing Engine Developer (CX Platform)
Miratech
Remote, United States
We are looking for a Senior Routing Engine Developer to design and build the next generation interaction routing platform powering enterprise-scale contact center operation. You will…
Added 4 mins ago
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Principal Core Infrastructure Engineer
Oracle
Seattle, WA · Santa Clara, CA · Redwood City, CA
- $114,600 to $234,600 USD / year
…leaders, stakeholders, and/or customers to ensure proposed solutions meet their needs. Supports inclusivity by actively seeking and listening to diverse perspectives, ensuring others feel…
Added 4 mins ago
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Principal Data Hall Designer
Oracle
United States
- $114,600 to $234,600 USD / year
-Develops and tests engineering solutions using advanced modeling, component testing, and engineering principles.
Added 9 mins ago
Learning and Talent Development Specialist 2
Cook Medical
Bloomington, IN
We’re guided by strong ethical standards and core values, and we believe the best ideas come from creating solutions together. Our company culture values every voice, brings together…
Added 9 mins ago
Lead Research and Development Engineer
Cook Medical
Bloomington, IN
…core values, and we believe the best ideas come from creating solutions together. Our company culture values every voice, brings together inclusive teams who collaborate well, and…

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 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.
Experience 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 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
Regulatory compliance
Data entry
Communicate with customers
Confidentiality
Manage time
Workflow
Documentation
Claims processing
Organizational skills
Communication skills

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