Hybrid Pharmacy Tech II (REMS Program)

Elevance Health; Florida; Hybrid; USD 38,000 - 48,000; Full time

Job summary

Elevance Health BioPlus Specialty Pharmacy in Lake Mary, FL is seeking a Pharmacy Technician II to join our hybrid team. This role supports doctors and members by interpreting and data entering moderately complex prescriptions, processing prior authorizations, and resolving adjudication issues.

Primary duties include verifying member information, educating on prescription rules, handling PA requests, and maintaining records.

Qualifications

• Requires HS diploma or equivalent and minimum of 2 years of pharmacy experience.
• Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification.

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 physicians' offices and ensures compliance with Medicare requirements.
• 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.
• Contacts healthcare providers to clarify prescription details, secure missing information, and resolve discrepancies.
• Help deliver high-quality lifesaving pharmacy care for patients with complex or medical conditions.
• Responsible for processing specialty prescriptions orders with accuracy, efficiency, professionalism.

Skills

Pharmacy experience

Specialty pharmacy

Education

State/National Pharmacy Technician Certification

HS diploma or equivalent

Job description

Elevance Health BioPlus Specialty Pharmacy in Lake Mary, FL is seeking a Pharmacy Technician II to join our hybrid team. This role supports doctors and members by interpreting and data entering moderately complex prescriptions, processing prior authorizations, and resolving adjudication issues.

Primary duties include verifying member information, educating on prescription rules, handling PA requests, and maintaining records.