Pharmacy Technician, Intermediate (Short-term Employment) - UMRx Prior Auth
Blue Shield of California.com
Office
CA, United States
Full Time
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 policies. The Pharmacy Technician, Intermediate, will report to the Supervisor, Pharmacy Operations. In this role, you will provide support for staff pharmacists using operational expertise to prepare medication cases for clinical review outside of technician EOA. Additionally, you will ensure compliance with various regulatory and quality accreditation requirements around drug utilization management.
*Please note that this is a Temporary Full-time Employment role with an expected assignment timeframe of 11/3/25 - 4/30/26.
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 a team environment to manage technician queues
- Maintain individual work queue
- Communicate with the physicians, physician's office staff, and pharmacies to assist with case resolution
- Participate in, evaluate, and maintain efficient workflow procedures
- Perform 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 Peer
- Perform other duties as assigned by the Management Team
Your Knowledge and Experience
- Requires a California Certified Pharmacy Technician license
- Requires 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
- Ability to communicate well with other team members and help create team synergies
Pharmacy Technician, Intermediate (Short-term Employment) - UMRx Prior Auth
Office
CA, United States
Full Time
October 1, 2025