Hybrid Pharmacy Benefits Technician – Prior Authorization

Blue Shield of CA; San Diego (CA); Hybrid; USD 40,000 - 55,000; Full time

Job summary

Blue Shield of CA is seeking a Pharmacy Technician, Intermediate for the Prior Authorization team. The role focuses on resolving outpatient pharmacy benefit inquiries, including prescription claim issues, and communicating formulary guidelines and alternatives.

Ideal candidates will have a high school diploma or GED plus CA State Board approved Technician training/certification and at least 3 years of pharmacy-related experience.

Qualifications

• Requires high school diploma or GED and completion of CA State Board approved Pharmacy Technician training, certification, or degree program.
• Requires 3 years of pharmacy related experience.
• Strong phone and verbal communication skills with active listening.

Responsibilities

• Respond to outpatient pharmacy benefit inquiries from physicians, staff, providers, members, and brokers.
• Resolve prescription claim processing problems and communicate formulary guidelines and alternatives.
• Collaborate with the Pharmacy Services Operations team to maintain efficient and accurate service.

Skills

Pharmacy communication

Multi-tasking

Time management

Verbal communication

Education

High School Diploma or GED

CA State Board approved Pharmacy Technician training/certification

Job description

Blue Shield of CA is seeking a Pharmacy Technician, Intermediate for the Prior Authorization team. The role focuses on resolving outpatient pharmacy benefit inquiries, including prescription claim issues, and communicating formulary guidelines and alternatives.

Ideal candidates will have a high school diploma or GED plus CA State Board approved Technician training/certification and at least 3 years of pharmacy-related experience.