Pharmacy Technician

Wollborg Michelson Recruiting; Rancho Cordova (CA); On-site; USD 48,000 - 60,000; Full time

Job summary

Wollborg Michelson Recruiting is seeking a Pharmacy Technician to support outpatient pharmacy benefit prior authorization in California. You will review requests, interpret policies, and communicate with healthcare providers and pharmacies to resolve inquiries efficiently.

The role requires an active California Pharmacy Technician license and proficiency with Word, Teams, Outlook, and Excel. Strong communication skills and attention to detail are essential to ensure accurate case reviews and

Qualifications

• Active California Pharmacy Technician license required.
• Proficiency with Microsoft Word, Teams, Outlook, and Excel.
• Ability to interpret medication policies and prior authorization guidelines.
• Strong written and verbal communication skills.
• Experience with pharmacy benefits and prior authorization processes.

Responsibilities

• Coordinate and support procedures and guidelines for the outpatient pharmacy benefit prior authorization program.
• Evaluate prior authorization requests according to medication policies and operational principles.
• Provide drug usage history and relevant pharmacy benefit information to support case reviews and medication evaluations.
• Communicate with physicians, physician office staff, pharmacies, and internal business partners to resolve pharmacy benefit inquiries.
• Explain formulary alternatives and prior authorization criteria.
• Discuss pharmacy benefit coverage and requirements when needed.
• Collaborate with member services and external vendors as appropriate.

Skills

Pharmacy benefits

Prior authorization

Communication

Education

California Pharmacy Technician License

Tools

Microsoft Word

Microsoft Teams

Outlook

Excel

Job description

Pharmacy Services 2 Job Summary

Supports the implementation and administration of outpatient pharmacy benefit prior authorization procedures. Reviews medication requests, provides pharmacy benefit guidance, and communicates with healthcare providers, pharmacies, and internal partners to resolve inquiries accurately and efficiently.

Responsibilities

• Coordinate, assist with, and support procedures and guidelines for the outpatient pharmacy benefit prior authorization program.
• Evaluate prior authorization requests according to medication policies and operational principles.
• Provide drug usage history and relevant pharmacy benefit information to support case reviews and medication evaluations.
• Communicate with physicians, physician office staff, pharmacies, and internal business partners to resolve pharmacy benefit inquiries.
• Explain formulary alternatives and prior authorization criteria.
• Discuss pharmacy benefit coverage and requirements when needed.
• Collaborate with member services and external vendors as appropriate.

Requirements

• Active California Pharmacy Technician License.
• Proficiency with Microsoft Word, Teams, Outlook, and Excel.
• Ability to interpret medication policies and pharmacy benefit guidelines.
• Strong written and verbal communication skills.
• Skill Pharmacy benefit and prior authorization knowledge.
• Case review and medication policy interpretation.
• Healthcare provider and pharmacy communication.
• Microsoft Office proficiency.

Summary Qualification

• Experience supporting pharmacy services, pharmacy benefits, or prior authorization programs.
• Ability to review clinical and benefit-related information accurately.
• Strong attention to detail and problem-solving skills.
• Ability to communicate clearly with internal and external stakeholders.
• Valid California Pharmacy Technician License.

Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status.