Pharmacy Technician

Pharmacy Technician

We"re looking for a Pharmacy Technician who combines strong attention to detail with a genuinely warm, engaging personality. This position supports patients receiving specialty medications by helping them navigate insurance requirements, prior authorizations, and pharmacy claims so they can gain access to the treatment they need.

The right person for this role enjoys talking to people, isn"t afraid to pick up the phone, and knows how to build trust with patients who may be overwhelmed by the healthcare system. You"ll spend your day working with patients, provider offices, insurance companies, and internal teams to move cases forward and remove barriers to therapy.

This is a true end-to-end prior authorization role. Rather than simply processing requests, you"ll take ownership of patient cases from start to finish, researching solutions, following up relentlessly, and advocating for timely access to care.

What You"ll Be Doing

• Verify and update patient insurance information needed for prior authorization and claims processing.
• Understand different insurance types and determine the appropriate coverage pathway for each patient.
• Process pharmacy claims through Biologics MIS and interpret claim responses to determine next steps.
• Submit, monitor, and resolve prior authorization requests through payors and platforms such as CoverMyMeds.
• Communicate regularly with patients, provider offices, insurance companies, and clients regarding authorization status and access challenges.
• Conduct a significant amount of outbound calling to gather documentation, clarify requirements, and advance patient cases.
• Manage inbound calls related to prior authorizations, patient updates, and pharmacy services.
• Review clinic notes and large medical records, often exceeding 90 pages, to identify documentation required for payer approval.
• Maintain accurate and detailed documentation within Biologics MIS and internal systems.
• Triage prescriptions to preferred pharmacies or HUB providers when services cannot be provided internally.
• Identify and report adverse events and product complaints according to established procedures.
• Respond promptly to internal requests received through email and chat.
• Support annual insurance reverification activities and other operational projects.
• Manage a daily patient caseload of approximately 16-20 cases while maintaining quality and accuracy standards.
• Continue exploring solutions when coverage challenges arise, rather than stopping at the first denial.

What Makes Someone Successful Here

The most successful people in this role are naturally friendly, energetic, and persistent. They enjoy building rapport over the phone, asking questions, and helping people solve problems. They don"t get discouraged when an insurance company says no the first time and are motivated by finding a path forward for patients.

You should be comfortable balancing detailed administrative work with constant communication throughout the day. One moment you may be reviewing a lengthy medical record, and the next you may be speaking with a patient, provider office, and insurance representative to keep a case moving.

Preferred Experience

• Prior authorization experience in a hospital, specialty pharmacy, physician office, or healthcare setting.
• Pharmacy claims processing and insurance verification experience.
• Knowledge of pharmacy services, healthcare reimbursement, and payer requirements.
• Medical billing, coding, or related healthcare insurance experience.
• Experience reviewing medical records and clinical documentation.
• Comfort handling high volumes of both inbound and outbound calls.
• Experience with CoverMyMeds or similar prior authorization platforms.
• Familiarity with specialty pharmacy operations.
• Medical Assistant experience is a plus.
• Pharmacy registration or Certified Pharmacy Technician (CPhT) certification is a plus.

Work Environment

This position supports a growing specialty pharmacy focused on improving access to medications for patients, including those with rare diseases. The team operates in a hybrid environment with Tuesdays required onsite and the remainder of the week eligible for remote work based on business needs.

Hours fall between 8:00 AM and 8:00 PM Eastern Time, Monday through Friday, with common schedules including 9:00 AM to 6:00 PM, 10:00 AM to 7:00 PM, or 11:00 AM to 8:00 PM. Most team members work earlier shifts.

This is a phone-based role with no face-to-face patient interaction. If you"re someone who enjoys helping people, thrives on communication, and takes pride in navigating challenges to find solutions, you"ll be a strong fit for this team.

Job Type & Location

This is a Contract to Hire position based out of Cary, NC.

Pay and Benefits

The pay range for this position is $22.50 - $22.50/hr.

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)

Workplace Type

This is a hybrid position in Cary,NC.

Application Deadline

This position is anticipated to close on Aug 21, 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.