Pharmacy Technician
Care Team
Location: Fully remote - Must US South/East Region: FL, TX, GA, SC, NC, GA, TN
Preference for candidates located near Dallas, TX (for perm onsite)
Pay: $21.00 per hour
Start date: October 2026
Type: Contract, (5) months until about April 2027; can go perm based on performance
Department hours: Monday-Sunday, 7:00 AM to 11:00 PM EST
Schedules will be assigned at time of offer
Common schedules include: M-F schedules, Tues-Sun schedules, (4) 10-hour days, majority of shifts start between 8:00 AM EST and 11:00 AM EST
Training schedule: M-F, 9:00 AM to 5:30 PM EST for about 4 weeks
Holidays are low volume, they ask for volunteers first
Job description:
- Serve as the primary point of contact for members, providers, and pharmacies across phone, chat, email, and written/digital channels, delivering timely, accurate, and consistent service.
- Resolve inquiries related to mail order, benefit design, formulary coverage, medication costs, prior authorization criteria, and claims adjudication, while assisting network pharmacies with prescription claim processing and accuracy against benefit guidelines and contract standards.
- Support clinical pharmacists with patient and provider outreach, including appointment scheduling, clinical program enrollment, and medication adherence follow-up.
- Take ownership of member, provider, and pharmacy issues from initial contact through final resolution, coordinating with internal teams as needed and accurately documenting interactions for continuity of care, quality assurance, compliance, and operational reporting.
- Utilize AI-enabled tools and internal knowledge systems to efficiently research and resolve inquiries while fostering a collaborative, respectful, and diverse team environment and supporting additional projects and responsibilities as assigned.
Nice to have:
- Associate or Bachelor’s Degree
- PBM
- Mail order pharmacy
- Specialty pharmacy
Requirements:
- Active Certified Pharmacy Technician (CPhT) through PTCB or NHA
- Must have (3) years of recent retail or professional pharmacy experience with working knowledge of claims adjudication
- Must have call center experience
- Must provide CPhT license number
- Must submit an internet speed test | 100 MB DL
- Must have a private designated workspace
- High school diploma or equivalent
- Background check required