Pharmacy Support Specialist – Hybrid, Population Health

Elevance Health

Florida

Hybrid

USD 25,000 - 39,000

Full time

6 days ago

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Job summary

Elevance Health is seeking a Pharmacy Support Coordinator (Pharmacy Technician II) in Florida for a hybrid in-office 1–2 days per week role. You will interpret and review moderately complex prescriptions, analyze population health data, and troubleshoot adjudication issues to support clinical and operational outcomes.

Responsibilities include provider outreach, education on prescription rules, data requests, and reporting to improve quality and cost performance.

Qualifications

Requires active license to practice as a Pharmacy Technician.
HS diploma or equivalent with minimum 2 years of pharmacy experience.

Responsibilities

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.
Conducts 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 to 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.