Jobs in the United States

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Added 2 mins ago
Lead Site Reliability Engineer
JPMC page
Tampa, FL · Plano, TX
A. Formal training or certification on site reliability engineering concepts and 5+ years applied experience.
Added 4 mins ago
Senior Software Engineer, AI Developer Tools
NVIDIA USA
CA
…and people everywhere. We are seeking an exceptional Senior Software Engineer to build innovative local AI applications, maximize the capabilities of our accelerated hardware, and create…
Added 12 mins ago
A
Controls Engineer
Actalent
Lake Orion, MI
- $90,000 to $110,000 USD / year
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…
Added 12 mins ago
A
Csv Specialist
Actalent
Miami, FL
- $50 to $75 USD / hour
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…
Added 14 mins ago
Audiologist - Remote
GN Hearing
Topeka, KS
…telemedicine. In three years, we went from a scrappy startup to a leader in the direct-to-consumer hearing care space with the backing of our parent company GN, a global pioneer in…
Added 14 mins ago
Engineering & Platforms Director - HR Technology
CVS Health
Topeka, KS
CVS Health in HR Technology space is looking for a dynamic and driven Engineering Leader to work with cross-functional engineering teams tasked with creating best in class experiences…
Added 14 mins ago
Audiologist - Remote
GN Hearing
Topeka, KS
…telemedicine. In three years, we went from a scrappy startup to a leader in the direct-to-consumer hearing care space with the backing of our parent company GN, a global pioneer in…
Added 21 mins ago
VH
Supervisory Healthcare Engineer (Recruitment/Relocation Incentive)
Veterans Health Administration
San Antonio, TX
- $133,769 to $173,902 USD / year
…Associate Director for Operations. The incumbent is a responsible leader for the Facility Planning & Activations team and is relied on for authoritative advice on all aspects of facility…
Added 22 mins ago
Field Sales Manager
Arrow Electronics
Beaverton, OR
…value added sales opportunities by implementing supply chain, engineering, supplier, or service excellence strategies. Identifies and helps achieve sales branch goals, not just team…
Added 22 mins ago
Specialist Solutions Architect - GenAI, Data & AI GTM
Amazon
Portland, OR
…designing solutions that leverage our agentic AI services for software developers. You will interact with customers directly to understand the business problem, help and aid them in…
Added 23 mins ago
AN
SUPERVISORY IT SPECIALIST (SYSTEMS ADMINISTRATION)
Army National Guard Units
Columbia, SC
- $89,508 to $116,362 USD / year
…Technician position requiring military membership. Serves as project leader/supervisor responsible for developing, assigning, and coordinating duties and projects for systems…
Added 29 mins ago
Enterprise Account Manager
Eficode
Boston · Philadelphia · Washington · New York · Chicago
We're building the future of software development – driving innovation across Cloud, DevOps, Agile, Service Management, and AI-powered transformation. Our mission is to help organizations…
Added 35 mins ago
Data Management Manager
Wood
Houston, TX
Wood is a global leader in consulting, engineering and operations for the energy and materials sectors. With 33,000 people in around 50 countries, Wood supports clients across the full…
Added 36 mins ago
NH
Senior Epic Platform Operations (Senior Product Services & Management Analyst)
Northwell Health
Lake Success, NY
- $85,090 to $147,220 USD / year
Serves as a senior-level technical and operational leader responsible for the design, implementation, execution, support, and continuous improvement of Epic Technology and Platform…
Added 36 mins ago
Senior Software Engineer (Hybrid)
SGS North America
BETHPAGE, NY
Full-time Compensation: USD 90000 - USD 115000 - yearly Company Description SGS is the global leader and innovator in inspection, verification, testing and certification services. Founded…
Added 36 mins ago
Field Sales Manager
Arrow Electronics
Melville, NY
…value added sales opportunities by implementing supply chain, engineering, supplier, or service excellence strategies. Identifies and helps achieve sales branch goals, not just team…
Added 37 mins ago
CNC Programmer
Brinkman International Group, Inc.
ROCHESTER, NY
Added 38 mins ago
Principal Software Engineer, Ads
DoorDash
New York, NY
As a Principal Engineer on Ads, you will serve as the technical leader for the Ads organization, setting architectural direction and driving the long term technical strategy for the systems…
Added 38 mins ago
Sr Software Engineer II - Full Stack - The Card Shop
American Express
New York, NY
We are looking for a Senior Software Engineer – Web Full Stack with strong expertise in JavaScript, TypeScript, Node.js, React, and modern web technologies to join an agile,…
Added 38 mins ago
AE
Sr Software Engineer I - JavaScript - The Card Shop
American Express
New York, NY
- $123,000 to $215,250 USD / year
You will combine deep full-stack engineering with team-level technical leadership: owning complex initiatives, making sound architecture decisions, and helping engineers do their best work.…
Added 38 mins ago
Principal Research Scientist | MADS Science, Ads Science & Tech (ASAT)
Amazon
New York, NY
…highlighting insights that will inform our business development and engineering…
Added 38 mins ago
Senior Associate, Data Scientist - Bureau Data Strategy
Capital One
New York, NY
…for data has skyrocketed us to a Fortune 200 company and a leader in the world of data-driven…
Added 38 mins ago
Entry Level Product Manager- New York
IBM
New York, NY
We look for emerging leaders with demonstrated technical experience in data science, cloud platforms, or software engineering who are equally capable of driving business outcomes. The ideal…
Added 38 mins ago
Director, Product Sales & Success
ABM Industries
New York, NY
This role is the go-to-market arm of the portfolio, built the way a SaaS business would build it. One leader owns the client from the first conversation through implementation and into…
Added 38 mins ago
Principal Software Engineer
Ithaka Harbors, Inc.
NEW YORK, NY
Principal Software Engineer ITHAKAs mission is to expand access to knowledge and education around the world. Our services JSTOR, Portico, and Ithaka S+R enable people everywhere to learn,…

Actalent

REMOTE Prior Authorization Technician

Tempe, AZ, United States

$20 to $23 USD / hour

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Job details

Pay: $20 to $23 USD / hour
Posting language: English
Posted: Oct 24, 2026

Original job description

Job Title: Remote MedPharma Pharmacy Technician

Job Description

This remote Pharmacy Technician role focuses on processing and reviewing medication prior authorizations for Medicare and Medicaid patients, with a primary emphasis on Medicare. You will handle both intake and technical review functions, ensuring accurate data entry, thorough evaluation of coverage criteria, and clear clinical determinations on medication approvals and denials. The position offers a strong culture, flexibility, and benefits in a fully remote, HIPAA-compliant work environment.

Responsibilities

Process MedPharma prior authorizations for Medicare and Medicaid patients, primarily Medicare, in accordance with established procedures and guidelines.
Perform intake duties by setting up prior authorization cases in internal systems accurately and efficiently.
Route completed intake cases to the review team and, once trained, handle technical review responsibilities.
Conduct technical reviews of prior authorization cases to determine medication coverage, including approval, denial, or partial coverage decisions.
Read and interpret coverage criteria, standard operating procedures (SOPs), insurance documents, and medical documents to determine eligibility.
Make clinical determinations regarding whether medications are approved or denied based on available information and coverage policies.
Ensure all data entry related to prior authorizations, claims, and patient information is accurate, complete, and compliant with regulations.
Provide customer service over the phone, handling inbound and outbound calls related to prior authorizations and coverage decisions.
Control and guide conversations with callers, redirecting as needed to gather required information and maintain a professional, efficient interaction.
Use computer systems and software tools to manage cases, document decisions, and track workflow in a remote environment.
Work independently in a remote setting while adhering to HIPAA requirements and maintaining confidentiality of patient information.
Collaborate with team members on rotating holiday coverage and shared responsibilities to ensure consistent service levels.
Participate in training and ongoing education to stay current on managed care, pharmacy practices, and prior authorization processes.

Essential Skills

Active Pharmacy Technician certification (such as CPhT) with demonstrated experience as a Pharmacy Technician.
Hands-on experience in managed care or a similar environment involving insurance, claims, and coverage determinations.
Prior experience working in a pharmacy setting, with familiarity in medication workflows and prior authorization processes.
Proficiency in data entry with strong attention to detail and accuracy in handling patient and insurance information.
Customer service experience over the phone, including the ability to handle calls professionally and maintain composure.
Skill in controlling and guiding conversations, including redirecting discussions to obtain necessary information and resolve issues.
Strong computer skills and comfort working with multiple systems and digital documentation.
Proven ability to work remotely and independently while managing workload and meeting performance expectations.
Ability to read and interpret insurance documents, SOPs, and medical documentation to support clinical and coverage decisions.
Commitment to maintaining HIPAA compliance and safeguarding sensitive patient information in a remote environment.

Additional Skills & Qualifications

Experience with prior authorization processing in a managed care or pharmacy environment.
Experience in claims-related work, including understanding of coverage rules and insurance terminology.
Strong interpersonal and communication skills, both verbal and written, for interacting with patients, providers, and internal teams.
Ability to adapt to varying schedules, including evening and weekend shifts, and participate in rotating holiday coverage.
Comfort working in a structured, process-driven environment with clear SOPs and performance expectations.
Interest in long-term, permanent opportunities that offer holidays, paid time off, flexibility, and benefits.
Self-motivated mindset with the ability to stay focused and productive in a closed-door, distraction-free setting.

Work Environment

This position is 100% remote and requires working from a closed-door setting with limited distractions to maintain a HIPAA-compliant environment. You must have strong, reliable Wi-Fi and the ability to work effectively from home using computer-based systems and digital documentation. Training takes place Monday through Friday from 10:00 a.m. to 6:30 p.m. EST. After training, you will work one of two schedules: a SundayThursday schedule (preferred hours of 12:008:30 p.m. or 12:309:00 p.m. EST, with Sunday hours of 8:00 a.m.4:30 p.m. EST) or a TuesdaySaturday schedule (TuesdayFriday preferred hours of 12:309:00 p.m. EST and Saturday hours of 8:00 a.m.4:30 p.m. EST). Holidays are covered on a rotating basis with other team members. Lunch breaks range from 30 minutes up to an hour, depending on scheduling and business needs. The culture emphasizes a high internal satisfaction score, flexibility, and benefits in a professional, supportive remote work setting.

Job Type & Location

This is a Contract to Hire position based out of Tempe, AZ.

Pay and Benefits

The 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 & Location

This is a Contract to Hire position based out of Tempe, AZ.

Application Deadline

This position is anticipated to close on Nov 6, 2026.

Workplace Type

This 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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