Pharmacy Technician

<div class="content-intro"><p><strong>Company Overview<br></strong><span style="font-weight: 400;">Over the past 40 years, Chaparral Medical Group (CMG) has established itself as a leading primary and multi-specialty care provider for California’s Inland Empire. In 2022, </span><a href="https://www.globenewswire.com/en/news-release/2022/09/08/2512660/0/en/Technology-Company-Akido-Labs-Launches-New-Medical-Network-Focused-on-Preventive-Care-for-Chronic-Disease.html"><span style="font-weight: 400;">CMG joined forces with Akido Labs</span></a><span style="font-weight: 400;">, a tech-enabled healthcare company, to transform the healthcare experience from the ground up. This partnership joins CMG’s medical services with Akido’s innovative technology to relieve the frustrations felt by everyone involved in care delivery, from medical providers and their staff, to the patients and their families. Ultimately, this means our providers spend more time caring for patients and less time bogged down with administrative work. </span></p>
<p><span style="font-weight: 400;">As part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives. </span><span style="font-weight: 400;">We're building a dynamic, diverse and driven team as we continue to grow and broaden our impact. We are seeking passionate people who care deeply about helping patients and communities. We hope you’ll join our team</span></p></div><p><strong><span data-contrast="auto">Position Summary</span></strong></p>
<p><span data-contrast="auto">The Pharmacy Technician – Prior Authorization Specialist is responsible for managing and coordinating medication prior authorization requests across all clinics within the organization. This role serves as a critical liaison between providers, patients, pharmacies, insurance carriers, and clinical staff to ensure timely approval of prescribed medications and continuity of care. The Pharmacy Technician will review authorization requirements, gather necessary clinical documentation, submit requests, monitor pending cases, and communicate outcomes to key stakeholders. Success in this role requires strong attention to detail, knowledge of pharmacy benefit management processes, excellent communication skills, and the ability to work efficiently in a fast-paced healthcare environment.</span><span data-ccp-props="{}"> </span></p>
<p><strong><span data-contrast="auto">Essential Functions</span></strong> </p>
<ul>
<li><span data-contrast="auto">Process medication prior authorization requests for all clinic locations in accordance with payer requirements and organizational standards. </span><span data-ccp-props="{"335559685":720,"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Review patient charts and clinical documentation to ensure completeness prior to submission. </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Collaborate with providers, medical assistants, nurses, and clinic staff to obtain supporting clinical information. </li>
<li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Submit prior authorization requests through payer portals, electronic prior authorization systems, fax, or phone. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Monitor authorization status and follow up with insurance companies to expedite approvals. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Communicate authorization determinations, denials, and appeals requirements to providers and clinic teams. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Maintain accurate documentation of all authorization activities within the electronic health record (EHR). <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Track authorization turnaround times and identify barriers impacting medication access. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Assist in resolving medication coverage issues and identify alternative formulary options when appropriate. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="3" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Ensure compliance with regulatory requirements, insurer guidelines, and organizational policies.<span data-ccp-props="{"335559739":0}"> </span></li>
</ul>
<p><strong><span data-contrast="auto">Key Responsibilities</span></strong> </p>
<ul>
<li><span data-contrast="auto">Serve as the primary resource for medication prior authorization processes across all clinics. </span><span data-ccp-props="{"335559685":360,"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="12" data-list-defn-props="{"335552541":1,"335559685":765,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Manage a high-volume authorization workload while maintaining quality and accuracy standards. </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="12" data-list-defn-props="{"335552541":1,"335559685":765,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Review insurance eligibility, pharmacy benefits, and formulary requirements. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="12" data-list-defn-props="{"335552541":1,"335559685":765,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Coordinate peer-to-peer review requests and appeal submissions when necessary. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="12" data-list-defn-props="{"335552541":1,"335559685":765,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Maintain knowledge of payer-specific authorization requirements and medication coverage policies. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="12" data-list-defn-props="{"335552541":1,"335559685":765,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Partner with providers and clinical leadership to improve authorization workflows and reduce delays in patient care. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="12" data-list-defn-props="{"335552541":1,"335559685":765,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Monitor authorization metrics and contribute to process improvement initiatives. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="12" data-list-defn-props="{"335552541":1,"335559685":765,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Provide exceptional customer service to patients by addressing medication access concerns and providing timely updates. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="12" data-list-defn-props="{"335552541":1,"335559685":765,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Participate in department meetings, training programs, and organizational projects as assigned. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="12" data-list-defn-props="{"335552541":1,"335559685":765,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Support compliance efforts by ensuring complete and accurate documentation of authorization activities.<span data-ccp-props="{"335559739":0}"> </span></li>
</ul>
<p><strong><span data-contrast="auto">Required Qualifications</span></strong></p>
<ul>
<li><span data-contrast="auto">High school diploma or equivalent required. </span><span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1"><span data-contrast="auto">Active Pharmacy Technician registration, license, or certification as required by state regulations. </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1">Minimum of one (1) year of experience as a Pharmacy Technician, healthcare authorization specialist, or related healthcare role. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1">Experience processing medication prior authorizations and working with commercial, Medicare, and Medicaid insurance plans. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1">Knowledge of pharmacy terminology, medication classifications, and insurance benefit structures. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1">Experience utilizing electronic health records (EHR) and payer authorization portals. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1">Strong organizational, analytical, and problem-solving skills. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1">Excellent verbal and written communication skills. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1">Ability to manage multiple priorities and meet established deadlines. <span data-ccp-props="{"335559739":0}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="4" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1">Proficiency in Microsoft Office applications and healthcare technology systems.<span data-ccp-props="{"335559739":0}"> </span></li>
</ul>
<p><strong><span data-contrast="auto">Preferred Qualifications</span></strong> </p>
<ul>
<li><span data-contrast="auto">Certified Pharmacy Technician (CPhT) credential. </span><span data-ccp-props="{"335559739":0}"> </span></li>
<li><span data-contrast="auto">Two (2) or more years of prior authorization experience in a medical group, specialty pharmacy, managed care, or outpatient healthcare setting. </span><span data-ccp-props="{"335559739":0}"> </span></li>
<li><span data-contrast="auto">Experience with electronic prior authorization platforms. </span><span data-ccp-props="{"335559739":0}"> </span></li>
<li><span data-contrast="auto">Knowledge of specialty medications and high-cost therapeutic treatments. </span><span data-ccp-props="{"335559739":0}"> </span></li>
<li><span data-contrast="auto">Familiarity with population health, value-based care, and integrated healthcare delivery models. </span><span data-ccp-props="{"335559739":0}"> </span></li>
<li><span data-contrast="auto">Bilingual skills preferred.</span><span data-ccp-props="{"335559739":0}"> </span></li>
</ul>
<p><strong><span data-contrast="auto">Physical Requirements:</span></strong><span data-ccp-props="{}"> </span></p>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Ability to sit and/or stand for prolonged periods of time.</span> </li>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Ability to move/carry objects up to 20 pounds. </li>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Moving from one work site to another as needed. </li>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Ability to communicate with others to exchange information </li>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Ability to use and/or type on a laptop/keyboard.<span data-ccp-props="{}"> </span></li>
</ul><div class="content-pay-transparency"><div class="pay-input"><div class="title">Hourly pay range</div><div class="pay-range"><span>$28</span><span class="divider">—</span><span>$32 USD</span></div></div></div><div class="content-conclusion"><p>Chaparral Medical Group and Akido MSO are an equal opportunity employers, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.</p></div>