Pharmacy Tech I
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Job Description
Pharmacy technician processing prescriptions, prior authorizations, and pharmacy benefit inquiries for Elevance Health’s healthcare members. Generating reports and resolving adjudication, grievance, and appeal issues.
Responsibilities:
- Interpret and enter basic prescriptions
- Process prior authorizations
- Troubleshoot adjudication issues
- Verify member information and input data for pharmacists
- Educate members on pharmacy-based rules, prescription resources, and assistance programs
- Process prior authorization requests from physicians’ offices
- Ensure compliance with Medicare requirements
- Inform relevant parties of prior authorization determinations
- Resolve grievances and appeals issues
- Respond to physician, sales team, and member inquiries about formulary and prescription benefits
- Generate rebate, physician utilization, Beers Criteria, Reliance member, and ad hoc reports
- Maintain records of prior authorizations, rebates, and monthly reports
Requirements:
- High school diploma or equivalent
- Minimum of 1 year of pharmacy experience
- Current state pharmacy technician certification or national certification based on applicable state(s)
- Strong oral, written, and interpersonal communication skills for URAC accredited areas
- Problem-solving skills for URAC accredited areas
- Facilitation skills for URAC accredited areas
- Analytical skills for URAC accredited areas
- Ability to work second shift
- For virtual roles, residence within commuting distance from an office may be required
- Ability to meet applicable state and federal requirements, including Medicare requirements
- Certain patient/member-facing roles require COVID-19 and Influenza vaccination unless an acceptable explanation is provided
Benefits:
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401(k) contribution and match
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical, dental, and vision benefits
- Short- and long-term disability benefits
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Virtual full-time work arrangement, except for required in-person training sessions
- Flexible work-life integration
- COVID-19 and Influenza vaccination support/requirement for certain patient/member-facing roles
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