Prior Authorization Specialist Job at Actalent, Des Plaines, IL

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  • Actalent
  • Des Plaines, IL

Job Description

Job Description

Job Description

We’re seeking a detail-oriented and proactive Prior Authorization Specialist to join our team in a hybrid role supporting high-cost, high-complexity pharmaceuticals. If you thrive in a fast-paced environment and are passionate about improving patient outcomes, this is the opportunity for you.

What You’ll Do

As a key part of our pharmacy operations team, you’ll:

  • Contact pharmacy benefit managers (PBMs) and major medical plans to validate benefit verification requests.
  • Communicate with physician offices to obtain current prescriptions and clinical documentation.
  • Ensure documentation meets payer requirements and initiate prior authorizations via CoverMyMeds.
  • Follow up on pending authorizations within 48 hours and respond to urgent requests from internal teams.
  • Manage re-authorizations and submit approvals through the complex audit process.
  • Track and process approvals, denials, and expiration timelines to ensure continuity of care.
What You Bring
  • 1–3 years of experience in a pharmacy or healthcare setting
  • Strong understanding of prior authorization processes , pharmacy benefits , and major medical insurance .
  • HS Diploma or GED
Why Join Us?
  • Hybrid Schedule : Work 2 days on-site and 3 days remotely .
  • Structured Training : 6–8 weeks of hands-on training tailored to your pace.
  • Work-Life Balance : Monday–Friday, 9:30 AM–6:00 PM schedule.
  • Mission-Driven Culture : Be part of a team that supports patients with rare and chronic diseases through compassionate service and expert care.

Pay and Benefits

The pay range for this position is $21.00 - $23.00/hr.

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 hybrid position in Des Plaines,IL.

Application Deadline

This position is anticipated to close on Sep 19, 2025.

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.

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 due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

Job Tags

Temporary work, Remote work, Monday to Friday,

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