Pharmacy Tech - Prior Authorization (Hybrid)

Blue Shield of CA; Redding (CA); Hybrid; USD 60,000 - 85,000; Full time

Job summary

Blue Shield of CA is seeking a Pharmacy Technician, Intermediate to join the Pharmacy Prior Authorization team. You will provide timely responses to physicians, office staff, pharmacy providers, members, and brokers for outpatient pharmacy benefit inquiries and address coverage questions.

Reporting to the Supervisor, Pharmacy Services Operations, you will resolve claim issues and communicate formulary guidelines and alternatives while maintaining accuracy.

Qualifications

• Requires a California State Board approved Pharmacy Technician training, certification, or degree program.
• Three years of pharmacy-related experience.
• Ability to multi-task, set priorities and manage time effectively.
• Must be able to work a flexible schedule, including weekends.
• Strong phone and verbal communication skills with active listening.

Responsibilities

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

Skills

High School Diploma

Pharmacy Technician training

Pharmacy experience

Communication skills

Time management

Education

State Board approved Pharmacy Technician training/certification/degree

Job description

Blue Shield of CA is seeking a Pharmacy Technician, Intermediate to join the Pharmacy Prior Authorization team. You will provide timely responses to physicians, office staff, pharmacy providers, members, and brokers for outpatient pharmacy benefit inquiries and address coverage questions.

Reporting to the Supervisor, Pharmacy Services Operations, you will resolve claim issues and communicate formulary guidelines and alternatives while maintaining accuracy.