Top 27 Prior authorization pharmacist Jobs in Lake Forest, Ca

Pharmacy Technician
Clever Care Health Plan —Huntington Beach, CA
- $29 - $35 an hour
- Full-time
- Hybrid work
- Background check
- Writing skills
- HIPAA
Chief Pharmacist - Correctional Health Services
County of Orange —Santa Ana, CA
- $142,147.20 - $191,651.20 a year
- Weekends as needed
- Background check
- Management
- 5 years
- Dental insurance
Oncology Medication Mgmt Pharmacist-Ambulatory Pharmacy Practice-FT Variable Shift
University of California, Irvine —Orange, CA
- $92.84 - $110.94 an hour
- Full-time
- Background check
- BLS Certification
- Mid-level
- Health insurance
- Retirement plan
Pharmacy Technician II-Per Diem
City of Hope —Irvine, CA
- $33.48 an hour
- Per diem
- Hospital
- Mid-level
- High school diploma or GED
4d
Pharmacy Intake Coordinator
BMR Partners —Orange, CA
- $24 - $30 an hour
- Full-time
- English
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Intake Coordinator - Full-Time
Oso Home Care —Irvine, CA
- $26 - $33 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Medical office experience
Quick Apply
Pharmacy Technician II-Foundation
City of Hope —Newport Beach, CA
- $24.84 - $36.01 an hour
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
Pharmacy Technician (Part Time)
Advantage Healthcare Services —Newport Beach, CA
- $20 - $22 an hour
- Part-time
- Hospital
- High school diploma or GED
- Organizational skills
- Tuition reimbursement
- 401(k) matching
Quick Apply
Oncology Clinical Pharmacy Specialist
Shields Health Solutions —Buena Park, CA
- $150,000 - $190,000 a year
- Hybrid work
- Microsoft Outlook
- 3 years
- Data entry
- Paid parental leave
- Paid holidays
Quick Apply
2d
Pharmacy Intake Coordinator
Specialty Care Rx —Orange, CA
- $24 - $30 an hour
- Full-time
- English
- Mid-level
- High school diploma or GED
Quick Apply
Pharmacy Technician
Advantage Healthcare Services —Mission Viejo, CA
- $20 - $22 an hour
- Part-time
- High school diploma or GED
- Organizational skills
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Intake Representative (IVIG)
RE Pharmacy —Irvine, CA
- $28 - $32 an hour
- Weekends as needed
- Customer service
- 5 years
- Mid-level
- Health insurance
Quick Apply
Pharmacy Technician
986 Degrees Corporation dba 986 Pharmacy —Santa Ana, CA
- $20 - $30 an hour
- Full-time
- Spanish
- High school diploma or GED
- Driver's License
- Paid holidays
- Health insurance
Clinical Pharmacy Specialist
Shields Health Solutions —Orange, CA
- $150,000 - $190,000 a year
- Microsoft Outlook
- Clinic experience
- Outpatient experience
- Paid parental leave
- Paid holidays
Quick Apply

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Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
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Staff Pharmacist - Outpatient Pharmacy
Nationwide Children's Hospital —Columbus, OH
Candidates who have been licensed and practicing as a pharmacist since before 2004 may qualify with a bachelor’s degree.
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prior authorization pharmacist jobs near lake forest, ca

Pharmacy Technician

Clever Care Health Plan -
Huntington Beach, CA

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Job Details

Full-time
$29 - $35 an hour

Qualifications

High school diploma or GED

Full Job Description

This position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County.

Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.

Who Are We? ✨

Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values.

Why Join Us?

We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.

Job Summary

The Pharmacy Technician engages with members and network pharmacies to support medication adherence, ensure timely refills, and facilitate continuity of care by coordinating pharmacy-related needs and resolving access barriers.

This role contributes to STARS/HEDIS performance by proactively identifying and resolving adherence gaps and escalating clinical issues to a pharmacist as appropriate.

Functions & Job Responsibilities

Conduct outreach to members and caregivers regarding upcoming or overdue medication refills
Coordinate medication refills with members and network pharmacies to ensure continuity of therapy
Assist members in navigating pharmacy-related needs, including refill access and issue resolution
Maintain a regular in-person presence at Clever Care Community Centers and member events
Serve as a liaison between members and network pharmacies to resolve access or refill barriers
Escalate clinical questions or medication-related concerns to a pharmacist or Director of Pharmacy
Partner with the STARS/HEDIS team to identify and address medication adherence gaps
Participate in targeted outreach and calling campaigns to improve adherence and member engagement
Support testing and adoption of new pharmacy and member engagement technologies to improve operational efficiency and workflows
Provide feedback on system usability, workflow gaps, and opportunities for process improvement
Work with external vendors and access multiple platforms and portals to support member service, refill coordination, and issue resolution
Adapt to evolving tools and systems in a process improvement-focused environment
Accurately document member interactions and actions taken in designated systems
Follow departmental workflows, job aids, and company policies to ensure consistent and compliant operations
Identify workflow issues and recommend process improvements
Participate in team meetings, training, and continuous improvement efforts
Comply with all Federal, State, and HIPAA requirements
Other duties as assigned

Qualifications

Education and Experience

High School Diploma or equivalent required
Bachelor’s Degree or equivalent work experience preferred
Two (2) years experience as a pharmacy technician preferred
Experience working in a health plan preferred
Active Pharmacy Technician license preferred

Skills

Strong communication and member engagement skills
Comfortable working across multiple technology platforms and vendor portals
Demonstrated ability to learn new systems quickly and adapt to changing workflows
Ability to work effectively in a feedback-driven, team-based environment
Exceptional customer service skills, including verbal and written communication
Strong active listening skills
Familiarity with Centers for Medicare and Medicaid Services (CMS) regulations
Proficient knowledge of retail pharmacy workflow and claims adjudication
Understanding of health plan formularies, prior authorizations, etc.
Ability to collaborate and be a team player
Must be a quick learner

Wage Range: $29.00 to $35.00 per hour

Physical & Working Environment.

Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:

Must be able to travel when needed or required
Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs.

Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly.

Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business.

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency.

#LI-Hybrid

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Refine Your Search

prior authorization pharmacist jobs in lake forest, ca

Pharmacy Technician

Chief Pharmacist - Correctional Health Services

Oncology Medication Mgmt Pharmacist-Ambulatory Pharmacy Practice-FT Variable Shift

Pharmacy Technician II-Per Diem

Pharmacy Intake Coordinator

Intake Coordinator - Full-Time

Pharmacy Technician II-Foundation

Pharmacy Technician (Part Time)

Oncology Clinical Pharmacy Specialist

Pharmacy Intake Coordinator

Pharmacy Technician

Intake Representative (IVIG)

Pharmacy Technician

Clinical Pharmacy Specialist

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