Medicare Pharmacy Tech II – Hybrid/Remote

Elevance Health; Indianapolis (IN); Hybrid; USD 42,000 - 63,000; Full time

Job summary

Elevance Health is seeking a Pharmacy Technician II for the CarelonRx Call Center. This hybrid/remote role requires in-person training sessions and eligibility within commuting distance for office presence.

The candidate will interpret and data-enter moderately complex prescriptions, process prior authorizations, and resolve adjudication issues while supporting Medicare and Medicaid populations.

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 and National Certification based on applicable state requirements.

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 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, and other ad hoc reports.
• Maintains record keeping of prior authorizations, rebates, and monthly reports.

Skills

Medicare member support

Call center experience

Medication adherence

Computer systems

Patient care

Education

High school diploma or equivalent

State Pharmacy Technician Certification

National Certification

Job description

Elevance Health is seeking a Pharmacy Technician II for the CarelonRx Call Center. This hybrid/remote role requires in-person training sessions and eligibility within commuting distance for office presence.

The candidate will interpret and data-enter moderately complex prescriptions, process prior authorizations, and resolve adjudication issues while supporting Medicare and Medicaid populations.