Pharmacy Technician, Intermediate (Short Term Employment)

Company: Blue Shield of California
Location: Rancho Cordova
Posted on: September 18, 2022

Job Description:

Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that truly serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our comprehensive approach to diversity, equity, and inclusion combines a focus on our people, processes, and systems with a deep commitment to promoting social justice and health equity through our products, business practices, and presence as a corporate citizen. Blue Shield has received awards and recognition for being a certified Great Place to Work, best place to work for LGBTQ equality, leading disability employer, one of the best companies for women to advance, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we are striving to make a positive change across our industry and the communities we live in - join us Your Role The prior authorization fax team reviews prior authorization medication requests from Doctor offices, pharmacies and members. The pharmacy technician will report to the prior authorization fax team Supervisor. In this role you will review prior authorization requests to determine coverage for members' and their medications. You will work side by side with the Pharmacist team to review coverage for all medications that requires a review at Blue Shield. Your Work In this role, you will: 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 Communicate formulary alternatives and prior authorization criteria, and discusses pharmacy benefit coverage when required Your Knowledge and Experience Requires a Certified Pharmacy Technician license Requires at least 2 years of pharmacy related experience and training; or equivalent combination of education and experience Our Values Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short Human. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals PDN-97445e73-beea-4bc6-869a-6636b6b093b0

Keywords: Blue Shield of California, Rancho Cordova , Pharmacy Technician, Intermediate (Short Term Employment), Human Resources , Rancho Cordova, California