REVER-Pharmacy Technician

Job Title: Pharmacy Technician Job Description
The Pharmacy Technician supports patients, healthcare providers, and internal teams by coordinating all aspects of access to specialty and biologic medications. This role focuses on timely benefits investigations, prior authorization support, financial assistance navigation, and proactive communication to remove barriers and help patients start therapy as quickly and smoothly as possible.
Responsibilities
- Conduct comprehensive benefits investigations for biologic and specialty therapies, ensuring accurate coverage verification.
- Verify insurance eligibility, coverage limitations, deductible and co-pay amounts, and specialty pharmacy requirements.
- Identify prior authorization, step therapy, quantity limit, and reauthorization needs based on payer policies.
- Gather and organize clinical documentation required for prior authorization submissions.
- Communicate prior authorization criteria, required forms, and next steps clearly to provider offices.
- Track prior authorization status closely and provide timely updates to patients, providers, and internal teams.
- Assist with written and verbal appeals when coverage is denied, supporting providers with necessary documentation.
- Screen patients for co-pay assistance, foundation grants, and manufacturer-sponsored financial assistance programs.
- Help patients complete required financial assistance paperwork and follow up on application status to ensure continuity of care.
- Collaborate with internal and external stakeholders to align funding with payer requirements and program guidelines.
- Provide clear, compassionate communication to patients regarding coverage status, delays, and next steps.
- Educate patients on therapy onboarding timelines and available support program resources.
- Manage inbound and outbound calls with professionalism, accuracy, and empathy, including calls from patients, physicians, payers, and other partners.
- Collaborate with provider offices to obtain missing documentation, signatures, and clinical details needed to move therapy forward.
- Communicate with specialty pharmacies regarding prescriptions and triage steps, ensuring accurate information flows between all parties to avoid delays.
- Triage prescriptions to preferred pharmacies or HUB providers when the dispensing pharmacy is unable to serve the patient.
- Enter all communication and documentation in the designated management information system (such as Caretend, AssistPoint, or other platforms) with a high level of accuracy.
- Appropriately process pharmacy claims in the management information system and recognize and interpret pharmacy claim responses.
- Maintain detailed, accurate progress notes and documentation to support audits, URAC requirements, and internal quality assurance expectations.
- Adhere to HIPAA guidelines and internal compliance standards at all times.
- Recognize and effectively communicate about different insurance types and when each type would be utilized.
- Manage and respond to internal written communications and requests received via chat or email.
- Identify and report adverse events and product complaints to clinicians in accordance with established procedures.
- Assist with projects such as yearly insurance reverification and other operational initiatives as needed.
- Meet productivity and quality benchmarks, including turnaround times for benefits verifications and prior authorizations, quality audit standards, and call handling metrics when applicable.
- Support cross-functional teams as needed based on business workload and service level requirements.
- Perform other related duties as assigned.
Essential Skills
- Pharmacy background with experience in specialty and biologic therapies.
- Customer service experience, particularly in a healthcare or pharmacy setting.
- Experience with prior authorizations, including benefits investigation and coverage verification.
- Ability to recognize and effectively communicate about various insurance types and their appropriate use.
- Proficiency in data entry with strong attention to detail and accuracy.
- Ability to enter all communication and documentation in pharmacy or biologics management information systems.
- Skill in appropriately processing pharmacy claims and interpreting claim responses.
- Strong verbal and written communication skills for interacting with patients, providers, payers, and internal teams.
- Ability to manage inbound calls from patients, clients, physicians, and payors regarding patient updates and services provided.
- Experience identifying and reporting adverse events and product complaints to clinicians.
- Capacity to manage and respond to internal written communications via chat or email.
- Requires 1+ years of related experience in a pharmacy, healthcare, or prior authorization environment.
- Registered Pharmacy Technician credential required.
- 1–2 years of experience specifically with prior authorizations and pharmacy-related customer service.
Additional Skills & Qualifications
- Minimum of an associate degree or equivalent experience and 3+ years of related experience is preferred.
- Certified Pharmacy Technician (CPhT) credential is a plus.
- Experience working with specialty pharmacies, HUB services, or biologic therapy support programs.
- Familiarity with systems such as Caretend, AssistPoint, or similar healthcare management platforms.
- Understanding of HIPAA regulations and healthcare compliance standards.
- Ability to work on projects such as yearly reverification and other operational initiatives.
- Strong organizational skills with the ability to track multiple cases and follow through on complex workflows.
- Demonstrated ability to meet productivity, quality, and call handling benchmarks in a fast-paced environment.
- Empathetic approach to patient communication and a commitment to patient-centered service.
Work Environment
This is a contractor role with a structured Monday through Friday schedule. Shifts range from 9:00 a.m.–6:00 p.m., 10:00 a.m.–7:00 p.m., or 11:00 a.m.–8:00 p.m. Eastern Time. The work location may be onsite, hybrid, or remote, depending on business needs. The environment is fast-paced and metrics-driven, with frequent phone and electronic communication and extensive use of pharmacy management information systems and other healthcare technology platforms. Team members collaborate closely with patients, providers, payers, and specialty pharmacies, working within established compliance and quality frameworks to support access to specialty and biologic therapies.
Job Type & Location
This is a Contract position based out of Cary, NC.
Pay and Benefits
The pay range for this position is $22.50 - $22.50/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)
Workplace Type
This is a fully onsite position in Cary,NC.
Application Deadline
This position is anticipated to close on Oct 7, 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.

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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):
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