Pharmacy Technician, Intermediate

pstrongYour Role/strong/p pThe 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 Operations Supervisor. In this role you will resolve outpatient pharmacy benefit coverage inquiries, including prescription claim processing problems, and communication of drug formulary guidelines and alternatives./ph3Responsibilities/h3divpstrongYour Work/strong/ppstrongIn this role, you will:/strong/pulliCoordinate, assist in, and support implementation of procedures and guidelines for the drug prior authorization program for the outpatient Pharmacy Benefit/liliEvaluate prior authorization requests based on medication policy and operational principlesnbsp;/liliProvide drug usage history and other pertinent pharmacy benefit related inquiries to internal business partners to assist in case specific reviews and drug evaluations/liliCommunicate with the physician, physician’s office staff, pharmacies, and internal business partners to assist with accurate and efficient resolution of pharmacy benefit inquiries/liliClearly communicate formulary alternatives and prior authorization criteria, and discusses pharmacy benefit coverage when required/li/ul/divh3Qualifications/h3divpstrongYour Knowledge and Experience/strong/pulliRequires a Certified Pharmacy Technician license/liliRequires at least 2 years of pharmacy related experience and training; or equivalent combination of education and experience/liliDemonstrated ability encompasses basic understanding of internal procedures and policies needed to ensure effective execution of assigned tasks/liliAbility to multi-task, set priorities, and manage time effectively/liliStrong phone and verbal communication skills along with active listeningnbsp; nbsp;/li/ul/divh3About Company/h3divp class="MsoNormal" style="margin: 12pt 0in 0in;"/p p class="MsoNormal"bspanAbout Blue Shield of California/span/b/p p class="MsoNormal"spanAs of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.nbsp;/span/p p class="MsoNormal"spanAt Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.nbsp;/span/p p class="MsoNormal"spanTo achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals./span/p p class="MsoNormal"spanBlue Shield isspannbsp;/spana U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!nbsp;spannbsp;/span/span/p p class="MsoNormal"bspanOur Values:nbsp;/span/b/p p class="MsoListParagraphCxSpFirst" style="margin-left:.25in;"/p ul libspanHonest. /span/bspanWe 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.bnbsp;/bb/b/span/li libspanHuman. /span/bspanWe strive to listen and communicate effectively, showing empathy by understanding others' perspectives./span/li libCourageous. /bWe stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.bnbsp;/b/li /ul p class="MsoNormal"bspanOur Workplace Model:/span/b/p p class="MsoNormal"spanAt Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose – whether working in the office or through a hybrid approach – by providing clear expectations while respecting the diverse needs of our workforce./span/p p class="MsoNormal"spanTwo Ways of Working:/span/p p class="MsoNormal"/p ul libHybrid (Default):nbsp;/bWork from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).bnbsp;/bExceptions:/li /ul p/p p class="MsoNormal" style="margin-left:.75in;"spanspanospannbsp;nbsp; /span/span/spanspanMember-facing and approved out-of-state roles remain remote./span/p p class="MsoNormal" style="margin-left:.75in;"spanspanospannbsp;nbsp; /span/span/spanspanEmployees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits./span/p p class="MsoNormal" style="margin-left:.75in;"spanspanospannbsp;nbsp; /span/span/spanspanFor employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being./span/p ul libOn-Site:nbsp;/bWork from a business unit-approvednbsp;officenbsp;an average of four (4) or more days a week./li /ul p class="MsoNormal"bspanPhysical Requirements:/span/b/p p class="MsoNormal"spanOffice Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day./span/p p class="MsoNormal"spana href="https://www.blueshieldca.com/physical-job-requirements" target="_blank" rel="nofollow"Please click here for further physical requirement detail./anbsp;/span/p p class="MsoNormal"bspanEqual Employment Opportunity:/span/b/p p class="MsoNormal"spanExternal hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws./span/p/div