Pharmacy Technician: Prior Authorization & Benefits Specialist

Wollborg Michelson Recruiting

Rancho Cordova (CA)

Sur place

USD 48 000 - 60 000

Plein temps

Il y a 4 jours

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Résumé du poste

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.

Responsabilités

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.