REVER-Pharmacy Technician @ Actalent

Job Title: Pharmacy Technician Specialty & Biologic Access SupportJob DescriptionThis Pharmacy Technician role focuses on supporting patients, providers, and internal teams by coordinating all aspects of access to specialty and biologic medications. The position ensures timely benefits investigations, prior authorization support, financial assistance coordination, and proactive communication to remove barriers so patients can begin therapy as quickly and smoothly as possible. You will combine your pharmacy experience, customer service skills, and prior authorization experience to navigate complex insurance and reimbursement processes while delivering compassionate support to patients and providers.

Responsibilities

• Conduct comprehensive benefits investigations for biologic and specialty therapies, verifying insurance eligibility, coverage limitations, deductibles, co-pay amounts, and specialty pharmacy requirements.
• Identify and document prior authorization, step therapy, quantity limits, and reauthorization needs for prescribed therapies.
• Gather and organize clinical documentation required for prior authorization submissions, ensuring completeness and accuracy.
• Communicate prior authorization criteria, required forms, and next steps clearly to provider offices.
• Track prior authorization status closely, provide timely updates to patients and providers, and follow through to resolution.
• Assist with written or verbal appeals when coverage is denied, coordinating needed information with providers and payers.
• Screen patients for co-pay assistance, foundation grants, and manufacturer-sponsored financial assistance programs.
• Support patients in completing financial assistance paperwork and follow up on application status to help secure funding.
• Collaborate with internal and external stakeholders to ensure financial assistance aligns with payer requirements.
• Provide clear, compassionate communication to patients regarding coverage status, delays, and next steps in the therapy onboarding process.
• Educate patients on therapy onboarding timelines and available support program resources.
• Manage inbound and outbound calls from patients, clients, physicians, and payors with professionalism, accuracy, and empathy.
• Collaborate with provider offices to obtain missing documentation, signatures, or clinical details needed to move prescriptions forward.
• Communicate with specialty pharmacies regarding prescriptions and triage steps, ensuring accurate and timely information flow between all parties.
• Triage prescriptions to preferred pharmacies or HUB providers when the primary pharmacy is unable to serve the patient.
• Enter all communication and documentation accurately into the pharmacy management information system (MIS), such as Caretend, AssistPoint, or similar platforms.
• Appropriately process pharmacy claims in the MIS and recognize and interpret pharmacy claim responses.
• Maintain detailed, accurate progress notes and records to support audits, URAC requirements, internal quality assurance expectations, and compliance standards.
• Adhere to HIPAA guidelines and all internal compliance policies when handling patient information.
• Recognize and effectively communicate about different insurance types and when each type would be utilized in the access process.
• Manage and respond to internal written communications and requests received via chat or email in a timely and professional manner.
• Identify and report adverse events and product complaints to clinicians according to established procedures.
• Assist with projects such as yearly reverification and other departmental initiatives as assigned.
• Meet or exceed productivity and quality benchmarks, including turnaround times for benefits investigations and prior authorizations, quality audit standards, and call handling metrics when applicable.
• Support cross-functional teams as needed based on business workload, service level requirements, and operational priorities.
• Perform other related duties as assigned by leadership to support overall patient access and pharmacy operations.

Essential Skills

• At least 12 years of related experience in a pharmacy setting, patient access, or a closely related healthcare environment.
• Pharmacy experience with hands-on experience supporting prescriptions, insurance processing, or specialty medications.
• Customer service experience, preferably in a healthcare or pharmacy setting, with the ability to handle high-volume calls and sensitive patient interactions.
• Experience with prior authorizations, including gathering clinical information, submitting requests, and tracking determinations.
• Ability to recognize and effectively communicate about different insurance types and when each type is utilized.
• Proficiency in data entry with strong attention to detail and accuracy in documentation.
• Experience managing inbound calls from patients, providers, payors, and clients regarding patient updates and services.
• Ability to appropriately process pharmacy claims and interpret pharmacy claim responses in a pharmacy MIS or similar system.
• Strong written and verbal communication skills, with the ability to explain complex coverage and access information clearly and compassionately.
• Demonstrated ability to maintain confidentiality and comply with HIPAA and internal compliance standards.
• Organizational skills to track multiple cases, follow up on outstanding items, and meet defined turnaround times and quality metrics.
• Registered Pharmacy Technician credential (Registered Tech) as required by applicable regulations.
• Ability to work scheduled shifts Monday through Friday within the specified time ranges.

Additional Skills & Qualifications

• Minimum of an associate degree or equivalent experience combined with approximately 3+ years of related experience is preferred.
• National pharmacy technician certification (CPhT) is a plus.
• Experience working with specialty and biologic therapies, including benefits investigations and financial assistance programs, is highly desirable.
• Familiarity with systems such as Caretend, AssistPoint, or similar patient access and pharmacy management platforms.
• Experience entering all communication and documentation into a pharmacy or biologics MIS and maintaining thorough, audit-ready records.
• experience in coordinating co-pay assistance, foundation grants, and manufacturer-sponsored patient support programs.
• Experience assisting with projects such as yearly reverification or large-scale benefits review initiatives.
• Ability to identify and report adverse events and product complaints to clinical teams in accordance with established procedures.
• Comfort managing and replying to internal written communications via chat and email while balancing phone-based responsibilities.
• Proven ability to collaborate effectively with provider offices, specialty pharmacies, and internal cross-functional teams.
• Strong problem-solving skills and a proactive approach to removing barriers that delay patient therapy starts.
• Empathetic, patient-focused mindset with the ability to support individuals navigating complex insurance and financial challenges.

Work EnvironmentThis role follows a Monday through Friday schedule with shifts that may range from 9:00 a.m. to 6:00 p.m., 10:00 a.m. to 7:00 p.m., or 11:00 a.m. to 8:00 p.m. Eastern Time. The position operates in a structured pharmacy and patient access environment that relies heavily on phone-based communication, electronic documentation, and use of pharmacy management and patient support systems such as Caretend, AssistPoint, and other MIS platforms. You will work closely with patients, providers, payors, and internal teams in a professional office or clinical support setting, focusing on accuracy, compliance, and timely case management. The environment emphasizes collaboration, productivity, and adherence to quality standards, with expectations to meet defined service levels and performance metrics.

Job Type & LocationThis is a Contract position based out of Cary, NC.

Pay and BenefitsThe 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)

Application DeadlineThis position is anticipated to close on Nov 4, 2026.

Workplace TypeThis is a fully onsite position in Cary,NC.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 [email protected] 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.