Prior Authorization Pharmacy Technician

Job Description

We are seeking a technician to support a growing Medicare Pharmacy Appeals team. This position plays a critical role in ensuring timely and accurate processing of Medicare Part D appeal requests while helping the organization maintain service level agreements (SLAs), quality standards, and member satisfaction. The ideal candidate is highly detail-oriented, thrives in a fast-paced environment, communicates effectively, and is comfortable working independently in a remote setting.

Responsibilities

• Conduct outbound calls to providers, pharmacies, and healthcare offices to obtain clinical information needed for Medicare Part D appeal reviews.
• Perform pharmacy technician-level review and support for prior authorization and appeals cases.
• Accurately document and maintain case information in multiple systems.
• Process cases efficiently while meeting established turnaround times and deadlines.
• Maintain productivity, quality, and success rate standards established by the department.

Essential Skills

• Pharmacy technician certification
• High School Diploma, GED, or equivalent
• Active State Board of Pharmacy Technician License/Registration
• Minimum of 2 years of Pharmacy Technician experience
• Minimum of 1 year of Microsoft Office experience (Microsoft Outlook email and calendar management, document creation on Microsoft Word, and sorting data/creating or editing spreadsheets, basic formulas, and VLOOKUP functions on Microsoft Excel)

Additional Skills & Qualifications

• Prior Authorization (PA) experience
• Experience working in a medical, healthcare, or clinical environment
• Previous Pharmacy Technician experience in retail, hospital, or specialty pharmacy
• Experience supporting Medicare Part D processes
• Ability to adapt quickly to changing priorities and business needs

Work Environment

Work hours are scheduled between 6am and 6PM Pacific Time, with alternating 8-hour shifts on Saturdays.

This is a Contract to Hire position based out of Minneapolis, MN.

The pay range for this position is $20.00 - $22.00/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)

This is a fully remote position.

This position is anticipated to close on Oct 14, 2026.

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.