Pharmacy Technician I - Remote

Overview

As a clinical professional on our Medical Management/Health Services team, you will play a crucial role in changing the lives of our 28 million members. This remote position requires you to reside in California and offers a fresh perspective on workplace flexibility.

In Short

• Track and triage coverage determination requests for prior authorizations and Medicare Part D recipients.
• Obtain verbal authorizations and request detailed clinical information from prescribers.
• Approve coverage determination requests based on defined criteria.
• Document coverage determination request decisions in the PBM system.
• Respond to client inquiries regarding authorization approvals.
• Refer coverage determination requests for specialty drugs to delegated vendors.
• Contact providers for additional information to facilitate coverage determination reviews.
• Notify physicians, providers, and members of coverage determination request decisions.
• Requires a current state Pharmacy Technician license.
• 1+ years of pharmacy experience in retail, hospital, or mail order settings.

Requirements

• High school diploma or equivalent.
• 1+ years of retail, hospital, or mail order pharmacy experience.
• Current state Pharmacy Technician license.
• National Certification from Pharmacy Technician Certification Board (CPhT) preferred.

Benefits

• Competitive pay and health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work schedules including remote options.