Pharmacy Support Coordinator: Health Data & Provider Liaison

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

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.