Bilingual Pharmacy Technician II - Remote & Training

Elevance Health, Inc.; Miami (FL); Hybrid; USD 25,000 - 36,000; Full time

Job summary

Elevance Health, Inc. is seeking a Pharmacy Technician II-Bilingual to join CarelonRx in a hybrid/virtual role with in-person training sessions.

The position supports data entry, prior authorizations, and adjudication troubleshooting while serving members and physicians. The role requires a current active Pharmacy Technician license and National Certification, bilingual Spanish skills, and at least 2 years of pharmacy experience.

Qualifications

• Active Pharmacy Technician license and National Certification as required by state(s).
• HS diploma or equivalent with 2 years pharmacy experience or equivalent background.
• Bilingual Spanish required; language test may be needed.

Responsibilities

• Verifies member information and inputs data for the pharmacists.
• Educates members on pharmacy rules related to prescriptions and medication resources or assistance programs.
• Processes prior authorization requests from physician offices and ensures Medicare compliance; informs relevant parties of 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.

Skills

Bilingual (Spanish)

Call center experience

PTCB Certification

Education

HS diploma or equivalent

Job description

Elevance Health, Inc. is seeking a Pharmacy Technician II-Bilingual to join CarelonRx in a hybrid/virtual role with in-person training sessions.

The position supports data entry, prior authorizations, and adjudication troubleshooting while serving members and physicians. The role requires a current active Pharmacy Technician license and National Certification, bilingual Spanish skills, and at least 2 years of pharmacy experience.