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 (https://www.forbes.com/lists/best-midsize-employers/?sh=58210f5e210f) and America's 2023 Best Employers By State (https://www.forbes.com/lists/best-employers-by-state/?sh=21c7c3d1983b) .

　　Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com .

　　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.

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　　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

　　Equal employment opportunity/affirmative action:

　　Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

　　If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at [email protected] or via phone at 425-918-4785.

　　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 .

　　At Premera, we make healthcare work better. By focusing on improving our customers’ experience purposefully and serving their needs passionately, we make the process easier, less costly, and more positive. Through empathy and advocacy, we change lives.

　　As the leading health plan in the Pacific Northwest, we provide comprehensive health benefits and services to more than 2 million customers, from individuals to Fortune 100 companies. Our services include innovative programs focused on health management, wellness, prevention, and patient safety. We deliver these programs through health, life, vision, dental, disability, and other related products and services.

　　Premera Blue Cross is headquartered in Mountlake Terrace, WA, with operations in Spokane and Anchorage. The company has operated in Washington since 1933 and in Alaska since 1952. With more than 80 years of experience in the region, we deliver innovation, choice, and expertise.