Prior Authorization Pharmacy Tech — Hybrid, Formulary & Claims

Blue Shield of CA; Oakland (CA); Hybrid; USD 30,000 - 39,000; Full time

Job summary

Blue Shield of CA is seeking an Intermediate Pharmacy Technician to support outpatient pharmacy benefit inquiries. You will resolve prescription claim problems, communicate formulary guidelines, and propose alternative medications to physicians, office staff, pharmacy providers, members, and brokers.

Our hybrid virtual work model allows full-time remote work with on-site attendance based on business needs. You will report to the Supervisor, Pharmacy Services Operations and contribute to

Qualifications

• Requires a High School Diploma or GED along with completion of a California State Board approved Pharmacy Technician training, certification, or degree program
• Requires 3 years of pharmacy related experience
• Basic understanding of internal procedures and policies needed to ensure effective execution of assigned 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 along with active listening skills

Responsibilities

• Resolve outpatient pharmacy benefit coverage inquiries and prescription claim processing problems
• Communicate drug formulary guidelines and alternatives to external customers and internal team members

Education

High School Diploma or GED

California State Board approved Pharmacy Technician training/certification

Job description

Blue Shield of CA is seeking an Intermediate Pharmacy Technician to support outpatient pharmacy benefit inquiries. You will resolve prescription claim problems, communicate formulary guidelines, and propose alternative medications to physicians, office staff, pharmacy providers, members, and brokers.

Our hybrid virtual work model allows full-time remote work with on-site attendance based on business needs. You will report to the Supervisor, Pharmacy Services Operations and contribute to