Hybrid Pharmacy Prior-Authorization Technician

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

Job summary

Blue Shield of CA seeks a Pharmacy Technician, Intermediate to join the Pharmacy Prior Authorization team. You will resolve outpatient pharmacy benefit coverage inquiries, assist with prescription claim problems, and communicate formulary guidelines and alternatives.

Be part of a team that values leadership development and continuous learning, with a hybrid virtual work setup requiring occasional office visits based on business needs.

Qualifications

• Requires a High School Diploma or GED along with 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, including prescription claim processing problems, and communication of drug formulary guidelines and alternatives.
• Support leadership and teammates in ensuring accurate and timely responses to external customers and internal staff.

Skills

Phone communication

Time management

Multitasking

Active listening

Flexibility

Education

High School Diploma or GED with California Pharmacy Technician training/certification

Job description

Blue Shield of CA seeks a Pharmacy Technician, Intermediate to join the Pharmacy Prior Authorization team. You will resolve outpatient pharmacy benefit coverage inquiries, assist with prescription claim problems, and communicate formulary guidelines and alternatives.

Be part of a team that values leadership development and continuous learning, with a hybrid virtual work setup requiring occasional office visits based on business needs.