Coverage Determination Technician

Join our client’s team in a critical, behind-the-scenes healthcare role that makes a real difference for patients every day. As a Contract Coverage Determination Technician (CST Timezone), you’ll help ensure people get the medications they need—quickly, accurately, and with compassion. You’ll be part of a collaborative team where your pharmacy expertise directly impacts patient care.

Benefits & Extras:

• No commuting required
• Company-provided equipment with easy pickup in Birmingham, AL
• Stable, long-term contract opportunity (with strong potential for extension)
• Consistent weekday schedule (no nights or weekends)
• Join a supportive team culture that values accuracy and efficiency

Compensation: $19 – $20 per hour DOE

What You’ll Be Doing:

• Review and process prior authorization (PA) requests for medications
• Determine approval or rejection based on established guidelines
• Accurately enter and update data in multiple systems
• Communicate with providers when needed for outbound calls
• Learn and navigate pharmacy benefit management (PBM) systems and other technology tools
• Follow regulatory requirements and internal processes
• Maintain high productivity while ensuring quality and compliance

What You’ll Need to Be Considered:

• Hold an active state pharmacy technician license or CPhT certification
• Prior experience in a hospital, retail, or PBM call center pharmacy role
• Prior authorization experience in accepting/rejecting requests
• Access to high-speed internet 
• Ability to train on a CST schedule for the first two weeks

Apply now!
INDCSV