Pharmacy Support Coordinator

Elevance Health (Anthem); Mason (OH); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

401(k) + match

Paid holidays and PTO

Job summary

Elevance Health is hiring a Pharmacy Support Coordinator to support population health management initiatives. The role operates in a hybrid setup, requiring in-office presence 1–2 days per week, with possible alternate locations for commuting candidates.

You will verify member data, educate providers on pharmacy rules, and process data requests to ensure Medicare and commercial compliance. The position emphasizes collaboration with physicians, sales, and internal teams to close care quality gaps.

Qualifications

• Minimum requirements include an active license (state requirements) to practice as a Pharmacy Technician.
• HS diploma or equivalent with at least 2 years of pharmacy experience or an equivalent background.
• Preferred: familiarity with PBMs and health plans.

Responsibilities

• Verifies member information and data for pharmacist opportunities to improve health.
• Educates providers on pharmacy rules related to prescriptions and medications.
• Processes data requests and ensures compliance with Medicare and commercial requirements.
• Outreach to provider offices to close quality gaps in care.
• Responds to inquiries from physicians, sales team, and internal partners about formulary and prescription benefits.
• Generates reports for physician utilization and clinical criteria.

Skills

Pharmacy experience

PBMs knowledge

Licensing/certification

Education

High school diploma or equivalent

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

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

Job Family:

MED > Licensed/Registered Pharmacist/Pharmacy Technician

Who We Are

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.

Benefits

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.

Hybrid Workforce Strategy

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.

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