Pharmacy Tech II — Clinical Care Center (Hybrid/Remote)

Elevance Health, Inc.; United States; Hybrid; USD 25,000 - 34,000; Full time

Benefits offered by this job

Job summary

Elevance Health, Inc. seeks a Pharmacy Technician II for its Clinical Pharmacy Care Center. The role involves data-entry for prescriptions, prior authorization processing, and resolving adjudication issues. Training includes in-person sessions; virtual work is supported with hybrid requirements.

The CPCC supports Medicare, Medicaid, and Commercial members, aiming to close gaps in care through education and assistance. Strong communication and pharmacy systems skills are essential.

Qualifications

• Requires active professional license to practice as a Pharmacy Technician in the U.S.
• HS diploma or equivalent with at least 2 years of pharmacy experience, or equivalent education/experience.
• CPCC area requires current Pharmacy Tech license and certification.

Responsibilities

• Interpret and data-enter moderately complex prescriptions.
• Process prior authorization requests and ensure Medicare compliance.
• Troubleshoot adjudication issues and inform relevant parties of determinations.
• Provide resolution to grievances and appeals; respond to inquiries from physicians and members.
• Generate reports on rebates, Beers Criteria, and monthly metrics.
• Maintain records of prior authorizations, rebates, and monthly reports.

Skills

Medicare knowledge

Call center experience

Medication adherence

Communication skills

Computer systems proficiency

Education

HS diploma or equivalent

State/National Pharmacy Technician Certification

Job description

Elevance Health, Inc. seeks a Pharmacy Technician II for its Clinical Pharmacy Care Center. The role involves data-entry for prescriptions, prior authorization processing, and resolving adjudication issues. Training includes in-person sessions; virtual work is supported with hybrid requirements.

The CPCC supports Medicare, Medicaid, and Commercial members, aiming to close gaps in care through education and assistance. Strong communication and pharmacy systems skills are essential.