Join Our Team: Do Meaningful Work and Improve People’s Lives
Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.
To better serve our customers, we’re creating a culture that promotes employee growth, collaborative innovation, and inspired leadership. We are committed to creating an environment where employees can do their best work and where best-in-class talent comes, stays, and thrives! As a result of these efforts we are proud to share that Forbes ranked Premera among America’s 2023 Best Midsize Employers and America’s 2023 Best Employers By State.
As a Pharmacy Services Specialist I, you will support Pharmacy Service Operations and Pharmacy Programs to promote an optimum level of efficiency for both provider and customer satisfaction.
Complete pharmacy prior authorization review requests from providers.
Schedule:
Core service hours: Monday through Friday 7:30 AM to 6:00 PM. Regular Saturday and Sunday rotation required; estimated weekend coverage every 4 to 6 weeks. Holiday coverage rotation required. Core service hours subject to change based on business needs.
What you’ll do:
- Support the Pharmacy Prior Authorization Program by:
- Performing level I review for Prior Authorization exception requests according to clinical criteria.
- Collecting relevant medical and prescription information to support the review of non-formulary exception requests and prior authorization requests.
- Setting up authorizations and initiating appropriate paperwork and notification process.
- Documenting exception requests status and outcomes in all relevant systems.
- Determining customer eligibility, verifying and interpreting pharmacy benefits as required.
- Requesting and reviewing necessary medical records for level II reviews, sending requests with documentation and recommendations to the Assistant Medical Directors for final review.
- Contribute to team efficiency by providing support to fellow team members.
- Maintain knowledge of Premera health plan policies and benefits, current treatment procedures and alternative resources.
- Serve as a resource for other departments for pharmacy program questions.
- Other duties as assigned.
What you’ll bring:
- Current and valid State Pharmacy Technician License (Required).
- Three (3) years’ experience as a Pharmacy Technician (Required).
- Experience in customer service with both internal and external customers.
- Completion of pharmacy technician training from an accredited Pharmacy Technician program.
What we offer
- Medical, vision and dental coverage
- Life and disability insurance
- Retirement programs (401K employer match and pension plan)
- Wellness incentives, onsite services, a discount program and more
- Tuition assistance for undergraduate and graduate degrees
- Generous Paid Time Off to reenergize
- Free parking
Premera is hiring in the following states, with some limitations based on role or city: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.
The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.
National Salary Range:$42,600.00 – $63,900.00
National Plus Salary Range:$48,500.00 – $72,800.00
*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska.