Pharmacy Tech II
Elevance Health

Job Info

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Pharmacy Technician II

Shift Schedule: Monday-Friday (shift start times vary; 9:30am-6:00pm, 10:30am-7:00pm, 12:00pm-8:30pm, 3:00pm-11:30pm ALL EST)

This position will work virtually. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations.

A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.

The Pharmacy Technician II is responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues.

How you will make an impact:

• Verifies member information and inputs data for the pharmacists.
• Educates members on pharmacy based rules related to prescriptions and medication resources or assistance programs.
• Processes prior authorization requests from physicians offices and ensures compliance; informs relevant parties of all prior authorization determinations.
• Provides resolution to grievances and appeals issues.
• Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
• Generates reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.
• Maintains record keeping of prior authorizations, rebates, and monthly reports

Minimum Requirements:

• Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States.
• Requires H.S. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Capabilities, Skills, and Experiences:

• Excellent communication skills with Commercial members a plus.
• Call center experience with high call volumes preferred.
• Experience in discussing medication adherence a plus.
• Proficient in computer systems and multitasking preferred.
• Patient care experience preferred.

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