Pharmacy Technician II – Clinical Pharmacy Care Center

The Elevance Health Companies, Inc.; Indianapolis (IN); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Merit increases

Paid holidays

Paid Time Off

401(k) + match

Stock purchase plan

Life insurance

Wellness programs

Medical

Job summary

Elevance Health is seeking a Pharmacy Technician II for the Clinical Pharmacy Care Center (CPCC). This hybrid/virtual role handles data entry, prior authorizations, and adjudication issues for Medicare, Medicaid, and Commercial members.

In-person training and occasional office visits are required, with work primarily from home for eligible associates. The position supports star ratings and HEDIS quality measures, requires an active pharmacy tech license or national certification, and demands

Qualifications

• Requires active professional license or certification as a Pharmacy Technician per state law.
• Minimum 2 years of pharmacy experience or an equivalent combination of education and experience.
• Excellent communication skills and ability to handle inquiries from physicians, members, and sales teams.

Responsibilities

• Verify member information and input data for pharmacists.
• Process prior authorization requests and ensure Medicare compliance.
• Resolve grievances and appeals; assist with formulary and benefit questions.
• Educate members on prescriptions, medication resources, and adherence.

Skills

Call center experience

Interpersonal skills

Education

HS diploma or equivalent

State Pharmacy Technician Certification

Job description

Anticipated End Date: 2026-10-30

Position Title: Pharmacy Technician II – Clinical Pharmacy Care Center

Job Description

Pharmacy Technician II – Clinical Pharmacy Care Center

Virtual: 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 accommodation is granted as required by law.

Schedule: Monday-Friday, 12:00pm – 8:30pm EST.

CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health.

The Pharmacy Technician II – Clinical Pharmacy Care Center (CPCC) is responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. Will service Medicare, Medicaid, and the Commercial member populations.

How you will make an impact:

• Verifies member information and inputs data for the pharmacists.
• 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.
• Educates members about prescriptions and medication resources or assistance programs, and on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures.
• Assists members with scheduling their preventive test/screenings and medication resources or assistance programs.
• Makes outreach to members or providers to close care gaps and improve outcomes.

Minimum Requirements:

• 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.
• 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.

Preferred Skills, Capabilities and Experiences:

• Call center experience.
• 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

Workshift:

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

Benefits:

• 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

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 should submit the Accessibility Accommodation Request Form and a member of the team will be in contact.

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.

We are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health.

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.