Pharmacy Support Coordinator

The Elevance Health Companies, Inc.; Mason (OH); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Elevance Health is seeking a Pharmacy Support Coordinator (Pharmacy Technician II) to join Population Health Management. This hybrid role requires in-office presence 1–2 days per week and focuses on reviewing prescriptions, analyzing population health data, and resolving adjudication issues.

You will verify member information and educate providers on formulary rules, while supporting data requests, quality gains, and provider outreach.

Qualifications

• Requires active state license or national certification for Pharmacy Technician.
• HS diploma and 2+ years of pharmacy experience or equivalent background.
• Experience with PBMs/health plans is preferred.

Responsibilities

• Verifies member information, clinical and cost data to identify improvement opportunities.
• Educates providers on pharmacy rules related to prescriptions and resources.
• Processes data requests from physicians and ensures Medicare and commercial compliance.
• Outreach to provider offices to close quality gaps in care.
• Provides resolution to grievances from provider groups.
• Responds to inquiries from physicians, sales, and internal partners about formulary and benefits.
• Generates reports for physician utilization, clinical criteria and ad hoc requests.
• Maintains records of presentations and monthly reports.
• Supports overall performance improvements within provider organizations.

Skills

PBMs & Health plans

Communication skills

Analytical skills

Problem-solving

Education

High school diploma

State Pharmacy Technician Certification

Job description

Anticipated End Date: 2026-09-22 Position Title: Pharmacy Support Coordinator Job Description: Pharmacy Support Coordinator - Population Health Management

Location (Hybrid):

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Work Hours:

Monday - Friday, 8:00am - 5:00pm

The Pharmacy Support Coordinator (Pharmacy Technician II) is responsible for the interpretation and review of moderately complex prescriptions, population health management data, and troubleshooting adjudication issues including provider engagement work.

How you will make an impact:

Verifies member information, clinical and cost of care data to identify pharmacists’ opportunities to improve health Educates providers on pharmacy-based rules related to prescriptions and medication resources or assistance programs Processes data requests from physicians' offices and ensures compliance with Medicare & Commercial requirements; informs relevant parties of quality and cost opportunities Conduct outreach to provider offices to close critical quality gaps in care. Provides resolution to grievances from provider groups Responds to inquiries from physicians, sales team, and internal partners related to formulary and prescription benefits Generates reports relating for physician utilization, Clinical Criteria, and other ad hoc reports Maintains record keeping of presentations and monthly reports Support the improvement of overall performance within provider organizations.

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 Skills, Capabilities and Experiences:

Experience with PBMs and Health plans preferred. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Job Level: Non-Management Non-Exempt Workshift: Job Family: MED > Licensed/Registered Pharmacist/Pharmacy Technician

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.