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Pharmacy Technician - Prior Authorization Focus

BlueCross BlueShield of South Carolina

Pharmacy Authorization Request SpecialistResponsible for setting up cases for pharmacy authorization requests and performing pharmacy reviews as per established criteria. Maintains the timely, complete, and accurate processing of authorization requests by interfacing with internal and external customers and the Pharmacy Benefit Manager (PBM) to resolve issues that may arise in the provision of pharmacy services. Processes determination letters and documents decisions using indicated protocol or clinical guidelines. Participates in quality control and/or quality improvement activities.This position is full-time (40-hours/week) Monday-Friday in a typical office environment. You will work an 8-hour shift between the hours of 7am - 7pm. This position is eligible for hybrid work after the training period. This role is located at 4101 Percival Road, Columbia, SC 29229. There is the expectation of rotating weekends and holidays as well.To qualify for this position, you'll need the following:High School Diploma or equivalent3 years pharmacy technician experience.Working knowledge of pharmaceutical claims, language, drug usage and generic substitution practices. Good judgment. Demonstrated customer service and organizational skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion. Attention to detail and the ability to handle multiple demands and balance multiple priorities in a fast-paced environment. Ability to remain in a stationary position and operate a computer.Microsoft Office.Registered Pharmacy Technician with the applicable state Board of Pharmacy and Certified Pharmacy Technician.Our comprehensive benefits package includes the following:Subsidized health plans, dental and vision coverage401k retirement savings plan with company matchLife InsurancePaid Time Off (PTO)On-site cafeterias and fitness centers in major locationsEducation AssistanceService RecognitionNational discounts to movies, theaters, zoos, theme parks and more

Vacancy posted 6 hours ago
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