Pharmacy Technician - Pharmacy - Temporary Full-Time

Summary: Responsible 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. Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Responsible 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. There is the expectation of rotating weekends and holidays as well. Receives and builds cases in the various applications for pharmacy authorization requests. Under Pharmacist guidance and per company policies/guidelines and established criteria sets, reviews, evaluates and authorizes approval of pharmacy requests. Requests additional information from providers including confidential medical history and prior drug therapy, in order to properly evaluate the request. Researches, resolves and documents outcomes in pharmacy system. Communicates selected authorization criteria, pharmacy benefit coverage, formulary alternatives and/or Pharmacy Management program policies and procedures to pharmacy providers, members and internal contacts. Conducts research necessary to make thorough/accurate basis for each determination made. Loads authorization into the system and ensures the clinical determination is documented accurately into the system for all levels of care. Identifies and makes referrals to appropriate staff (Pharmacist, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.).Researches and resolves issues using the appropriate reference material. Participates in quality control and/or quality improvement activities in support of the corporate and team-based objectives. High School Diploma or equivalent Required Work Experience~3 years pharmacy technician experience. Working knowledge of pharmaceutical claims, language, drug usage and generic substitution practices. Demonstrated customer service and organizational skills. Ability to handle confidential or sensitive information with discretion. Ability to remain in a stationary position and operate a computer. Required Software and Other Tools~ Microsoft Office. Registered Pharmacy Technician with the applicable state Board of Pharmacy and Certified Pharmacy Technician. Preferred Work Experience~3 years-pharmacy experience in managed care setting or PBM.Subsidized health plans, dental and vision coverage~401k retirement savings plan with company match~ Life Insurance~ On-site cafeterias and fitness centers in major locations~ After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. help@bcbssc.Veterans Welcome! BlueCross is a strong supporter of our veterans, and many service men and women have joined our ranks. We've found the dedication, work ethic and job skills that serve well in the military excel in many of our lines of business, and we proudly have veterans filling positions in Human Resources, Information Technology, Customer Service, Operations, General Services and more. Through our government contracts, we also have employees serving at Shaw Air Force Base, the Naval Health Clinic in Charleston, the Naval Hospital in Beaufort and in our hometown of Columbia, S.C., If you are a full-time employee in the National Guard or Reserves, we will even cover the difference in your pay if you are called to active duty.#