Description: Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required... Obtain verbal authorizations and request detailed clinical information from prescribers Approve coverage determination requests based on defined criteria Enter and document coverage determination request decision into the PBM system and notify providers and/or members Respond to client inquiries regarding authorization approvals and PBM on-line applications Refer coverage determination requests for specialty drugs to delegated vendor or client for processing Contact providers for additional information to facilitate coverage determination reviews Notify physicians, providers and members of coverage determination request decisions Additional Skills & Qualifications: 2 years Pharmacy Technician experience. Customer Service/retail/Hospital experience preferred Basic computer skills High School diploma or GED required Valid TSBP Pharmacy Technician License PTCB License highly preferred Experience Level: Entry Level 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 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through: Hiring diverse talent Maintaining an inclusive environment through persistent self-reflection Building a culture of care, engagement, and recognition with clear outcomes Ensuring growth opportunities for our people 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 [email protected] for other accommodation options Apply Job!