Remote Pharmacy Technician – Prior Authorization Specialist

Blue Shield of California; Rancho Cordova (CA); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Blue Shield of California is seeking an Intermediate Pharmacy Technician to support outpatient pharmacy benefit inquiries. You will collaborate with physicians, office staff, pharmacies, and internal partners to resolve coverage questions and process prior authorizations.

The role requires 3 years of pharmacy experience, a California Board approved tech program, and the ability to work a flexible schedule including weekends. This is a hybrid virtual position with some in-office needs.

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

• Coordinate, assist in, 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 *Note: This is short term employment

Skills

Communication skills

Multi-tasking

Time management

Phone etiquette

Detail oriented

Education

High School Diploma or GED

California Pharmacy Technician certification/training

Job description

Blue Shield of California is seeking an Intermediate Pharmacy Technician to support outpatient pharmacy benefit inquiries. You will collaborate with physicians, office staff, pharmacies, and internal partners to resolve coverage questions and process prior authorizations.

The role requires 3 years of pharmacy experience, a California Board approved tech program, and the ability to work a flexible schedule including weekends. This is a hybrid virtual position with some in-office needs.