Pharmacy Technician

Health Plan of San Joaquin French Camp, CA

Under direct supervision, the Pharmacy Technician is responsible for screening and inputting pharmacy authorizations.

Essential Functions

  • Reviews requests to ensure complete and accurate documentation.
  • Obtains and/or clarifies information using a variety of internal and external resources; follows up as required.
  • Approves routine authorizations.
  • Completes projects assigned by the plan Pharmacist.
  • Escalates non-standard items/request to Pharmacy Director or Pharmacist.
  • Enters data into appropriate HPSJ system(s).
  • Prepares and sends required correspondence.
  • Maintains and updates file systems.
  • Monitors authorization inventory to ensure timely completion; requests back-up as needed.
  • Screens Pharmacy Prior authorizations (PA) to determine if they meet first-level PA criteria.
  • Partner with IPs to enter authorizations in the PBMs system
  • Resolves adjudication issues; escalates as required.

  • Produces work that is accurate and complete.
  • Produces the appropriate amount of work.
  • Actively learns through experimentation when tackling new problems, using both successes and failures to learn.
  • Rebounds from setbacks and adversity when facing difficult situations.
  • Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
  • Basic knowledge of procedure coding and medical terminology.
  • Basic knowledge of pharmacy operation especially with claim adjudication.
  • In-depth knowledge of brand name, generic name and therapeutic class of medications.
  • Basic knowledge of pharmaceutical claims, language, drug usage and generic substitution practices.
  • Basic knowledge of Formulary Lists including common edits and restrictions
  • Time management and organizational skills. Uses time effectively and efficiently. Values time. Concentrates his/her efforts on the more important priorities. Can attend to a broader range of activities. Meets deadlines.
  • Ability to compare and discern the difference between two or more sets of data/information.
  • Ability to enter data into and navigate through multiple databases and systems.
  • Basic problem solving skills.
  • Ability to read, understand and apply oral and written guidelines, instructions and other materials.
  • Good oral and written communication skills.
  • Interpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
  • Ability to work effectively as part of a team.
  • Ability to learn computer medical management systems at a basic level.
  • Basic arithmetic skills.
  • Good customer service skills.
  • Type 45 WPM with 90%.
  • 7500 KPH @ 98%.
  • Basic skills using Microsoft Word, Excel, and Outlook.
  • Ability to speak and be understood in English.
  • Ability to treat confidential information with appropriate discretion.

Preferred

  • Basic knowledge of claims processing software and report creation.
  • High school diploma or equivalent; and
  • At least one year experience working as a Pharmacy Technician.

Preferred

  • Working experience in an outpatient pharmacy or community pharmacy.

Licensure, Certification

Preferred

  • Unrestricted California Pharmacy Technician license.

#HPSJ