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Blue Shield of CA

Pharmacy Technician, Intermediate

Blue Shield of CA, Long Beach, California, us, 90899


Your RoleThe 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, Intermediate, 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. This role will also ensure compliance with various regulatory and quality accreditation requirements around drug utilization management.Your WorkIn this role, you will:Utilize medication policy and operational principles to make authorization determination on drug case reviews within technician extension of authorityResearch and collect pertinent patient and drug information to assist the pharmacists in case specific reviews and drug evaluationsEnsure coverage determinations are completed within regulatory turnaround times for all lines of businessWork in team environment to manage technician queuesDemonstrate ability to maintain individual work queueCommunicate with the physicians, physician's office staff, and pharmacies to assist with case resolutionDemonstrate ability to communicate well with other team members and help to create team synergiesParticipate in, evaluate and maintain efficient workflow proceduresPerform additional activities as assigned and discussed with manager, including participation in all workstreams within UMRx, including but not limited to, intake, system testing, and Peer to PeerWork a weekend and holiday rotation schedulePerform other duties as assigned by the Management Team

Your KnowledgeRequires a Certified Pharmacy Technician licenseRequires minimum of 2 years of pharmacy related experience and training; or equivalent combination of education and experienceAbility to understand procedures and policies needed to ensure effective execution of assigned tasksAbility to multi-task, set priorities, and manage time effectivelyStrong phone and verbal communication skills along with active listening

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.#LI-JS3