Your Role

The UMRx Prior Authorization Technician team is primarily responsible for ensuring accurate and timely review of IV and injectable medications under the medical benefit, using Blue Shield of California Pharmacy and Therapeutics (P&T) Committee medication polices. The Pharmacy Technician, Advanced, will report to the Operations Supervisor. In this role you will provide support for staff pharmacists using operational expertise to prepare medication cases for clinical review outside of technician EOA. Ensure compliance with various regulatory and quality accreditation requirements around drug utilization management.

Please note, this is a Short-Term Employment Opportunity.

Your Work

In this role, you will:

• Utilize medication policy and operational principles to make authorization determination on drug case reviews within technician extension of authority
• Research and collect pertinent patient and drug information to assist the pharmacists in case specific reviews and drug evaluations
• Ensure coverage determinations are completed within regulatory turnaround times for all lines of business
• Work in team environment to manage technician queues
• Ability to maintain individual work queue
• Communicates with the physicians, physician's office staff, and pharmacies to assist with case resolution
• Ability to communicate well with other team members and help to create team synergies
• Work weekend and holiday rotation schedule
• Perform other duties as assigned by the Management Team

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
• Requires basic job knowledge of systems and procedures obtained through prior work experience or education

Pay Range:

The pay range for this role is: $ 20.47 to $ 28.66 for California.

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.