Prior Authorization Pharmacy Technician – Hybrid/Remote

Blue Shield of California; Rancho Cordova (CA); Hybrid; USD 32,000 - 47,000; Full time

Job summary

Blue Shield of California is seeking an Intermediate Pharmacy Technician to support the Pharmacy Prior Authorization team. You will resolve outpatient pharmacy benefit inquiries, assist with claim problems, and communicate formulary guidelines and alternatives.

The role is hybrid; virtual work with occasional in-office work based on business needs. You will collaborate with physicians, office staff, pharmacies, and internal partners to ensure accurate, timely resolution and to educate on PA

Qualifications

• Requires a High School Diploma or GED and California State Board approved Pharmacy Technician training/certification.
• Requires 3 years of pharmacy related experience.
• Ability to multi-task and manage time effectively.
• Flexible schedule including weekends as required.
• Strong phone and verbal communication skills along with active listening skills.

Responsibilities

• Coordinate 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 discusses pharmacy benefit coverage when required.

Skills

Phone communication

Verbal communication

Active listening

Education

High School Diploma or GED

California State Board approved Pharmacy Technician training/certification

Job description

Blue Shield of California is seeking an Intermediate Pharmacy Technician to support the Pharmacy Prior Authorization team. You will resolve outpatient pharmacy benefit inquiries, assist with claim problems, and communicate formulary guidelines and alternatives.

The role is hybrid; virtual work with occasional in-office work based on business needs. You will collaborate with physicians, office staff, pharmacies, and internal partners to ensure accurate, timely resolution and to educate on PA