Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits, and claims using ...
New
Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits, and claims using ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Medi-Cal Enrollment Advocate
Rosemead, CA · On-site
At WelbeHealth, we're transforming the reality of senior care by providing an all-inclusive health ... Proactively identify participants coming up for Medi-Cal redetermination * Educate and assist ...
Medi-Cal Enrollment Advocate
Rosemead, CA · On-site
At WelbeHealth, we're transforming the reality of senior care by providing an all-inclusive health ... Proactively identify participants coming up for Medi-Cal redetermination * Educate and assist ...
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Job Posting Title Clinical Pharmacy Technician Sr - Medi-Cal Rx The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits ...
New
Senior Medi Cal information
See salary details
$25K - $37.6K
14% of jobs
$43.9K is the 25th percentile. Wages below this are outliers.
$37.6K - $50.2K
22% of jobs
$50.2K - $62.8K
9% of jobs
The median wage is $71.8K / yr.
$62.8K - $75.4K
7% of jobs
$75.4K - $88K
12% of jobs
$98.1K is the 75th percentile. Wages above this are outliers.
$88K - $100.5K
14% of jobs
$100.5K - $113.1K
9% of jobs
$113.1K - $125.7K
4% of jobs
$125.7K - $138.3K
3% of jobs
$138.3K - $150.9K
4% of jobs
$150.9K - $163.5K
2% of jobs
$25K
$80.3K
$163.5K
How much do senior medi cal jobs pay per year?
What cities are hiring for Senior Medi Cal jobs?
Cities with the most Senior Medi Cal job openings:
What are the most commonly searched types of Medi Cal jobs?
The most popular types of Medi Cal jobs are:
What states have the most Senior Medi Cal jobs?
States with the most job openings for Senior Medi Cal jobs include:
Full-time
Posted 4 days ago
Prime Therapeutics rating
7.9
Based on 48 frontline employees who took The Breakroom Quiz
16th of 112 rated pharmacies
Job description
Job Posting Title
Clinical Pharmacy Technician Sr - Medi-Cal RxJob Description
The Senior Clinical Pharmacy Technician - Medi-Cal independently manages prior authorization requests, eligibility, pharmacy benefits, and claims using established clinical criteria. This role serves as a technical resource to team members, supports resolution of non-routine cases, and identifies opportunities to improve workflow efficiency.
Responsibilities
- Independently review, research, and resolve prior authorization requests by applying clinical criteria, established guidelines, and professional judgment within defined protocols
- Communicate coverage determinations, formulary alternatives, and prior authorization requirements to providers and internal stakeholders, ensuring clarity and accuracy in non-routine scenarios
- Manage inbound and outbound inquiries related to eligibility, benefits, claims, and prior authorizations, resolving moderately complex issues and determining appropriate next steps
- Escalate clinically complex or exception-based cases to a pharmacist, providing thorough documentation and relevant case context to support timely resolution
- Educate providers and members on claims submission processes, appeals requirements, and reimbursement guidelines across multiple networks
- Initiates, prioritize, and manage cases by accurately gathering and entering member and provider information
- Identify trends, root causes, high-risk inquiries, and workflow gaps in daily operations and recommend process improvements to enhance efficiency, quality, and consistency
- Serve as a resource to team members by providing guidance, answering process questions, and supporting onboarding activities
- Other duties as assigned
Minimum Qualifications
- High school diploma from an accredited school or equivalent GED
- 2 years of work experience as a pharmacy technician
- Licensed Pharmacy Technician in accordance with California state requirements
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
- Strong knowledge of pharmacy workflows, terminology, and reimbursement processes
- Ability to prioritize work and manage multiple assignments in a dynamic environment
- Effective communication skills with the ability to guide and support team members
- Proficiency in pharmacy systems and Microsoft Office applications
Preferred Qualifications
- 1 year reimbursement experience
- PBM or health care experience
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.
What Prime Therapeutics employees say
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About Prime Therapeutics
Sourced by ZipRecruiter
Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Eagan, MN, US
Year founded
1987