Pharmacy Technician III – BioPlus Specialty Pharmacy

Elevance Health•Carpinteria, CA

1d•$25 - $37•Onsite

About The Position

BioPlus Specialty Pharmacy is seeking a Pharmacy Technician III to join their team. This role is responsible for the interpretation and data entry of complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. The Pharmacy Technician III will review requests by mail, telephone, or electronically, respond to inquiries, and interpret requests to determine the most effective response. This is an onsite, full-time role requiring associates to work from the posted location to enable consistent face-to-face collaboration and teamwork. BioPlus Specialty Pharmacy is part of the Elevance Health family of companies, focused on delivering an elevated experience, affordability, and personalized support through clinical expertise, digital capabilities, and broad access to specialty medications.

Requirements

Requires H.S. diploma or equivalent.
Minimum of 5 years of pharmacy experience.
Requires an active, valid, current and unrestricted state Pharmacy Technician license or national license based on applicable state(s) requirements to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States.
Multi-state certification is required if this individual is providing services in multiple states.

Nice To Haves

Certified Pharmacy Technician preferred.
For URAC accredited areas, strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills are strongly preferred.

Responsibilities

Verifies member and provider information and inputs data for pharmacists and other clinicians to review.
Processes prior authorization requests from physicians’ offices and ensures compliance with all Medicaid, Commercial, and Medicare requirements; informs relevant parties of all prior authorization determinations.
Manages inbound and outbound communications, triaging and problem-solving pharmacy inquiries, ensuring any related patient and prescriber communication is completed and resolving all related open cases across patient services tool and pharmacy processing system, and managing prescription queue workflow.
Manages and supports more complex inquiries and supports other lower level pharmacy technicians.
Provides resolution to grievances and appeals issues.
Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
Manages escalations and analyzes data and results of any process improvements.
Generates reports related to necessary data for respective department, as well as other ad hoc reports as needed.
Works in applicable queues, supporting clinicians and operations leadership with inbound requests in all lines of business.
Acts as a subject matter expert in all respective areas and lines of business and maintains knowledge of new tasks to ensure continued education and support.
Mentors and trains lower-level pharmacy technicians as needed.