Pharmacy Technician II - Bilingual

Elevance Health (Anthem); Atlanta (GA); Hybrid; USD 25,000 - 39,000; Full time

Benefits offered by this job

Health insurance

Job summary

Elevance Health is seeking a Pharmacy Technician II - Bilingual to support our members and providers. This remote role includes periodic in-person training and may require limited travel to an office within commuting distance.

The incumbent will interpret and data enter moderately complex prescriptions, handle prior authorizations, and resolve adjudication issues while educating members on benefits and resources. Strong language skills and pharmacy knowledge are essential.

Qualifications

• Active state pharmacy technician license or national certification where required.
• HS diploma or equivalent with at least 2 years of pharmacy experience.
• Bilingual Spanish or multi-language skills; language test required.
• CPCC area requires current Pharmacy Tech license and National Certification.

Responsibilities

• Interpret and data enter moderately complex prescriptions and prior authorizations.
• Troubleshoot adjudication issues and respond to inquiries from physicians, members, and sales.
• Educate members on prescription benefits, rules and available assistance programs.
• Generate and maintain reports related to rebates, utilization, and Beers Criteria.
• Maintain records of prior authorizations and monthly reports.
• Ensure compliance with Medicare requirements and related determinations.

Skills

Bilingual Spanish

Data entry

Prior Authorization

Pharmacy knowledge

Education

HS diploma or equivalent

Pharmacy Tech license

National Certification

Job description

Pharmacy Technician II - Bilingual

Location: This role enables associates to work virtually full-time, except for 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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.

Schedule: This position will work an 8-hour shift from 12:00 pm - 8:30 pm (EST), Monday through Friday. Additional hours, including weekends or holidays, may be required based on operational needs.

The Pharmacy Technician II-Bilingual will be responsible for the interpretation and data entry of moderately complex 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 physician's 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 an current active, valid unrestricted 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.
• For the CPCC business area a current Pharmacy Tech license and National Certification is required.
• Requires a HS diploma or equivalent and a minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
• Bilingual (Spanish) or multi-language skills required.
• Must be able to pass a validated language test/assessment.

Preferred Skills, Capabilities and Experiences:

• Call center experience preferred.
• PTCB Certification Strongly preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Job Level: Non-Management Non-Exempt

Job Family: MED > Licensed/Registered Pharmacist/Pharmacy Technician

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.

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