Temporary Pharmacy Technician

Western Health Advantage Location: Sacramento, CA (Hybrid) Salary: $23.00–$26.00 per hour Department: Pharmacy Position Type: Temporary "Our purpose is strong, our impact is lasting, join us on the journey" Western Health Advantage Summary Description Western Health Advantage (WHA) is seeking an experienced Temporary Pharmacy Technician to support pharmacy utilization management activities at the health plan level. Working closely with the Chief Pharmacy Officer, Pharmacy Manager, Medical Directors, Clinical Pharmacists, and Pharmacy Coordinator, this position helps ensure prescription medication requests are reviewed accurately, efficiently, and in accordance with regulatory requirements. The Pharmacy Technician will review authorization requests using established protocols, coordinate member and provider notifications, assist with pharmacy benefit interpretation, and support pharmacy-related appeals and grievances. The ideal candidate is detail-oriented, knowledgeable about medications and drug classifications, and experienced in a managed care or utilization management environment. What You’ll Do Review prescription medication authorization requests using established protocols and criteriaRefer clinical questions or requests falling outside standardized criteria to a Clinical Pharmacist for reviewCoordinate with the Pharmacy Coordinator and internal departments to ensure authorization decisions and notifications are completed accurately and within regulatory timeframesPrepare and send approval, authorization, and denial letters to members and providersResearch and prepare pharmacy cases for review by Pharmacy leadership, Clinical Pharmacists, or the Chief Medical OfficerAssist Member Services Representatives and Medical Group staff with interpreting pharmacy benefits and prior authorization criteriaSupport the research and resolution of pharmacy-related appeals and grievancesHelp maintain the WHA Formulary Drug List and Pharmacy Prior Authorization criteria based on Pharmacy and Therapeutics Committee decisionsAssist with pharmacy and Pharmacy Benefit Manager audit activities, including DMHC and NCQA accreditation reviewsMaintain current knowledge of medications, drug classifications, pharmacy benefits, and authorization requirementsSupport administrative functions, including provider and member notifications and returned-mail processingAssist with developing and maintaining pharmacy policies, training materials, and desktop proceduresProvide mentoring and training to less-experienced Pharmacy Technicians and Pharmacy Coordinators, as neededHelp provide coverage during holidays and Friday evenings to ensure cases are completed within required regulatory timeframesPerform additional duties and special projects as assigned What You’ll Bring High school diploma or equivalentAt least three years of experience as a Pharmacy TechnicianAt least two years of experience in a utilization management or managed care environmentA valid California Pharmacy Technician License in good standing, maintained throughout employmentCustomer service or call center experience is highly desiredExperience preparing professional business correspondenceIntermediate computer skills, including email, database systems, word processing, and spreadsheetsStrong attention to detail, organization, research, and problem-solving skillsAbility to communicate clearly and professionally with members, providers, Medical Groups, and internal departmentsAbility to speak, read, write, and understand the primary language used in the workplace Equal Employment Opportunity Western Health Advantage is committed to providing equal employment opportunities to employees and applicants based on merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis protected by federal or state law. Western Health Advantage values and supports the unique talents and strengths each employee brings to our organization. Collaborating with the best and brightest creates a dynamic and fulfilling work experience for our employees—and excellent service for our members. Western Health Advantage is an Equal Opportunity Employer. Applicant Safety Notice: Please be aware of phishing scams that solicit interviews or promote fraudulent work-from-home opportunities while posing as legitimate employers. Western Health Advantage will never request credit card information, send you a check, or ask you to make any payment as part of the employment process. Suspected scams may be reported to the Federal Trade Commission at ReportFraud.ftc.gov. Powered by JazzHR 2usIIE014T