Hybrid Pharmacy Benefits Technician – Prior Authorization

Blue Shield of CA; Rancho Cordova (CA); Hybrid; USD 28,000 - 39,000; Full time

Job summary

Blue Shield of California is seeking a Pharmacy Technician, Intermediate to support the Pharmacy Prior Authorization team. You will address outpatient pharmacy benefit inquiries from physicians, staff, providers, members and brokers, resolving claim issues and explaining formulary guidelines and alternatives.

You will work in a hybrid virtual role, with some in-office requirements based on business needs, reporting to the Supervisor, Pharmacy Services Operations.

Qualifications

• Requires a High School Diploma or GED along with CA State Board approved Pharmacy Technician training, certification, or degree.
• Requires 3 years of pharmacy related experience.
• Basic understanding of internal procedures and policies needed to execute tasks.
• Ability to multi-task, set priorities and manage time effectively.

Responsibilities

• Resolve outpatient pharmacy benefit coverage inquiries for external customers and internal teams.
• Communicate drug formulary guidelines and alternatives to stakeholders.

Skills

3 years of pharmacy experience

Strong communication skills

Active listening

Ability to multi-task

Education

High School Diploma or GED and CA Pharmacy Technician training/certification/degree

Job description

Blue Shield of California is seeking a Pharmacy Technician, Intermediate to support the Pharmacy Prior Authorization team. You will address outpatient pharmacy benefit inquiries from physicians, staff, providers, members and brokers, resolving claim issues and explaining formulary guidelines and alternatives.

You will work in a hybrid virtual role, with some in-office requirements based on business needs, reporting to the Supervisor, Pharmacy Services Operations.