Pharmacy Services 2

TALENT Software Services; California; On-site; USD 45,000 - 60,000; Full time

Job summary

TALENT Software Services in California is seeking a Pharmacy Tech to support the drug prior authorization program for outpatient pharmacy benefits. You will coordinate procedures, evaluate requests, and communicate with physicians and internal partners to resolve inquiries.

You will provide formulary alternatives and discuss coverage, documenting reviews and supporting case-specific evaluations. Strong proficiency with Word, Teams, Outlook, and Excel is expected, along with CA Pharmacy Tech

Qualifications

• Experience interpreting formulary and prior authorization criteria.
• Strong communication with physicians and staff.
• Ability to work with internal teams on reviews and inquiries.
• Proficient documentation and tracking of pharmacy benefit reviews.

Responsibilities

• Coordinate, assist in, and support implementation of procedures and guidelines for the drug prior authorization program for the outpatient Pharmacy Benefit.
• Evaluate prior authorization requests based on medication policy and operational principles.
• Provide drug usage history and other pertinent PB-related inquiries to internal business partners to assist in case reviews.
• Communicate with physicians, staff, pharmacies, and internal partners to resolve benefit inquiries efficiently.
• Clearly communicate formulary alternatives and prior authorization criteria, and discuss coverage when required.

Tools

Microsoft Word

Teams

Outlook

Excel

Job description

Day to Day Responsibilities

(Being thorough in this section will allow the suppliers to pre-identify candidates more accurately.)

• Coordinate, assist in, and support implementation of procedures and guidelines for the drug prior authorization program for the outpatient Pharmacy Benefit.
• Evaluate prior authorization requests based on medication policy and operational principles.
• Provide drug usage history and other pertinent pharmacy benefit related inquiries to internal business partners to assist in case specific reviews and drug evaluations.
• Communicate with the physician, physician's office staff, pharmacies, and internal business partners to assist with accurate and efficient resolution of pharmacy benefit inquiries.
• Clearly communicate formulary alternatives and prior authorization criteria, and discuss pharmacy benefit coverage when required.

Software Skills Required

• Microsoft Word
• Teams
• Outlook
• Excel

Required Certifications

• CA Pharmacy Tech License Required