Blue Cross and Blue Shield Association logo

Pharmacy Technician, Intermediate (Short Term Employment)

Blue Cross and Blue Shield Association
  • Long Beach, CA
  • Autofill and Review
30+ days ago

Job Description

Your Role

The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for all outpatient pharmacy benefit inquires. The Pharmacy Technician, Intermediate will report to the Supervisor, Pharmacy Services Operations. In this role you will resolve outpatient pharmacy benefit coverage inquiries, including prescription claim processing problems, and communication of drug formulary guidelines and alternatives.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

  • 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

Hybrid Virtual Work

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.

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
  • Clearly communicate formulary alternatives and prior authorization criteria, and discusses pharmacy benefit coverage when required
  • Note: This is short term employment

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
  • Clearly communicate formulary alternatives and prior authorization criteria, and discusses pharmacy benefit coverage when required
  • Note: This is short term employment

Numbers & Facts

LocationLong Beach, CA
IndustryInsurance
Company Size2,000 to 2,499 employees
Websitehttps://www.bcbs.com/about-us/careers

About Company

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Skills

  • Access Authorizationunmatched
  • Brokerageunmatched
  • Certified Pharmacy Technician (CPhT)unmatched
  • Claims Processingunmatched
  • Communication Skillsunmatched
  • Establish Prioritiesunmatched
  • Formularyunmatched
  • High School Diplomaunmatched
  • Leadershipunmatched
  • Medical Officeunmatched
  • Medicationsunmatched
  • Multitaskingunmatched
  • Outpatient Careunmatched
  • Pharmacyunmatched
  • Prescription Drugsunmatched
  • Presentation/Verbal Skillsunmatched
  • Procedure Implementationunmatched
  • Time Managementunmatched
  • Work From Homeunmatched

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