Hybrid Pharmacy Prior Authorization Technician

Blue Shield of CA; Los Angeles (CA); Hybrid; USD 30,000 - 36,000; Full time

Job summary

Blue Shield of CA is seeking a Pharmacy Technician, Intermediate to join the Pharmacy Prior Authorization team. You will resolve outpatient pharmacy benefit coverage inquiries, including prescription claim issues and communicating formulary guidelines and alternatives.

The role supports a hybrid work arrangement with an emphasis on flexible scheduling and weekend availability. You will report to the Supervisor, Pharmacy Services Operations and contribute to a high-performing team focused on

Qualifications

• Requires a High School Diploma or GED and completion of a California State Board approved Pharmacy Technician training, certification, or degree program.
• Requires 3 years of pharmacy related experience.
• Basic understanding of internal procedures and policies needed to ensure effective execution of assigned tasks.
• Ability to multi-task, set priorities, and manage time effectively.
• Requires the ability to work a flexible schedule and weekends as required.
• Strong phone and verbal communication skills along with active listening skills.

Responsibilities

• Resolve outpatient pharmacy benefit coverage inquiries.
• Address prescription claim processing problems.
• Communicate drug formulary guidelines and alternatives to customers and internal staff.

Skills

Strong phone and verbal communication

Active listening

Education

Pharmacy Technician training/certification

Job description

Blue Shield of CA is seeking a Pharmacy Technician, Intermediate to join the Pharmacy Prior Authorization team. You will resolve outpatient pharmacy benefit coverage inquiries, including prescription claim issues and communicating formulary guidelines and alternatives.

The role supports a hybrid work arrangement with an emphasis on flexible scheduling and weekend availability. You will report to the Supervisor, Pharmacy Services Operations and contribute to a high-performing team focused on