Pharmacy Technician I

Elevance Health; Town of Florida (NY); Hybrid; USD 42,000 - 56,000; Full time

Benefits offered by this job

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical

Dental

Vision

401(k) +match

Stock purchase plan

Life insurance

Wellness programs

Job summary

Elevance Health is seeking a Pharmacy Technician I for remote work with mandatory in-person training sessions. The role handles interpretation and data entry of prescriptions, prior authorization processing, and troubleshooting adjudication issues.

Training schedule is onsite, with a Monday–Friday routine. Minimum requirements include a HS diploma and 1 year of pharmacy experience, a state license or certification, and applicable national certification.

Qualifications

• Requires HS diploma or equivalent and minimum of 1 year of pharmacy experience.
• Current State Pharmacy Tech license or certification.
• Certification or National Certification applicable to state(s).
• CPCC business area requires current Pharmacy Tech license or certification.

Responsibilities

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

Skills

Data entry

Specialty pharmacy

Education

HS diploma or equivalent

State Pharmacy Tech license/certification

Job description

Location: Virtual - This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

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 Schedule: Monday - Friday; 12:30p - 9:00p ET

Training Schedule: Monday - Friday; 9:00a - 5:30p ET (onsite)

The Pharmacy Technician I is responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.

How You Will Make An Impact

• 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.

Minimum Requirements

• Requires H.S. diploma or equivalent and minimum of 1 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
• Current State Pharmacy Tech.
• Certification or National Certification based on applicable state(s) required.
• For the CPCC business area a current Pharmacy Tech license or certification is required.

Preferred Skills, Capabilities, And Experiences

• Data entry experience is preferred.
• Specialty pharmacy experience is preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

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.

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.

• merit increases
• paid holidays
• Paid Time Off
• 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
• financial education resources
• to name a few

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [e-mail] for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.