Hybrid Pharmacy Technician – Prior Authorization

Blue Shield of CA; Springfield Meadows (CA); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Blue Shield of CA is seeking an Intermediate Pharmacy Technician to support the Prior Authorization team. The role focuses on resolving outpatient pharmacy benefit inquiries, assisting with claim issues, and communicating formulary guidelines and alternatives to external customers and internal staff.

The position emphasizes multi-tasking, meticulous attention to policy details, and flexible scheduling including weekends when required.

Qualifications

• California Certified Pharmacy Technician license required.
• Requires 2 years of pharmacy-related experience and training or equivalent combination of education and experience.
• Basic understanding of internal procedures and policies needed to ensure effective execution of 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 with active listening.

Responsibilities

• Resolve outpatient pharmacy benefit coverage inquiries and prescription claim processing problems.
• Communicate formulary guidelines and alternatives to providers, members, and internal teams.

Skills

CPhT License

Pharmacy experience

Verbal communication

Time management

Flexibility

Phone skills

Job description

Blue Shield of CA is seeking an Intermediate Pharmacy Technician to support the Prior Authorization team. The role focuses on resolving outpatient pharmacy benefit inquiries, assisting with claim issues, and communicating formulary guidelines and alternatives to external customers and internal staff.

The position emphasizes multi-tasking, meticulous attention to policy details, and flexible scheduling including weekends when required.