Pharmacy Tech II (contract)

Elevance Health

Tampa (FL)

Remote

USD 36,000 - 48,000

Part time

21 hours ago
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Job summary

Elevance Health is seeking a Pharmacy Technician to support the processing of prescriptions and prior authorizations. You will verify member information, assist pharmacists, and ensure Medicare compliance where applicable. The role emphasizes accuracy, data entry, and strong communication with physicians and members.

Fully remote with limited onsite requirements and standard weekdays. This position requires an active license and at least two years in pharmacy settings, plus solid problem-solving

Qualifications

  • Requires HS diploma or equivalent and minimum of 2 years of pharmacy experience.
  • 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.
  • Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
  • Computer Savvy

Responsibilities

  • Interpretation and data entry of prescriptions, prior authorization processing, and troubleshooting adjudication issues.
  • Verifies member information and inputs data for pharmacists.
  • Educates members on pharmacy rules and medication resources or assistance programs.
  • Processes prior authorization requests from physicians and ensures Medicare compliance; informs relevant parties of determinations.
  • Provides resolution to grievances and appeals issues.
  • Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
  • Generates reports relating to rebates, physician utilization, Beers Criteria, etc.
  • Maintains record keeping of prior authorizations, rebates, and monthly reports.

Skills

Pharmacy experience
Pharmacy license
Communication skills
Data entry

Education

High School Diploma
Pharmacy Technician Certification

Tools

Computer savviness

Job description

Primary duties may include, but not limited to:
  • Responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues.
  • Verifies member information and inputs data for the pharmacists.
  • Educates members on pharmacy based rules related to prescriptions and medication resources or assistance programs.
  • Processes prior authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations.
  • Provides resolution to grievances and appeals issues.
  • Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
  • Generates reports relating to rebates, physician utilization, Beers Criteria,
  • Reliance members, and other ad hoc reports.
  • Maintains record keeping of prior authorizations, rebates, and monthly reports.
Requirements:
  • 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.
  • 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.
  • Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
  • Computer Savvy
Job Type:

Contract

Schedule:

Standard work hours are Monday through Friday, 8:00 AM to 5:00 PM.

Weekend coverage may be required based on business needs.

When scheduled for weekend work, weekday hours adjust to 8:00 AM to 4:00 PM, with an additional five-hour shift on Saturday and/or Sunday.

Location:

Fully remote position with no in-office requirement.

Residency Requirement:

Candidates must live within one hour of a designated PulsePoint location.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors 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.

About BCForward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCForward is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Benefits Information

BCForward offers all eligible employees a comprehensive benefits package including, but not limited to

  • major medical
  • HSA
  • dental
  • vision
  • employer-provided group life
  • voluntary life insurance
  • short-term disability
  • long-term disability
  • 401k

The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. This does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

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