Pharmacy Technician II - Clinical Pharmacy Care Center

Elevance Health (Anthem); Indianapolis (IN); Hybrid; USD 45,000 - 60,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401(k) + match

Stock purchase plan

Life insurance

Paid holidays

Paid Time Off

Job summary

Elevance Health is seeking a Pharmacy Technician II for the Clinical Pharmacy Care Center in Indiana to support Medicare, Medicaid, and Commercial members. You will interpret and enter moderately complex prescriptions and handle prior authorizations in a fast-paced call center setting.

The role requires pharmacy licensure/certification and a minimum 2 years of pharmacy experience, with in-person training sessions and hybrid/virtual work options available.

Qualifications

• Active professional license or certification as required by state law.
• HS diploma or equivalent with 2+ years of pharmacy experience or equivalent background.
• For CPCC, current Pharmacy Tech license and certification required.

Responsibilities

• Verifies member information and inputs data for pharmacists.
• Educates members on pharmacy rules and assistance programs.
• Processes prior authorization requests and ensures Medicare compliance.
• Resolve grievances and appeals issues.
• Responds to inquiries from physicians, sales, and members about formulary and benefits.
• Generates reports on rebates, physician utilization, Beers Criteria and other ad hoc reports.
• Maintains record keeping of prior authorizations, rebates, and monthly reports.

Skills

Communication with members

Call center experience

Patient care experience

Multitasking

Problem solving

Education

HS Diploma or equivalent

State Pharmacy Technician Certification

National Certification

Tools

Pharmacy software

Job description

Position Title:

Pharmacy Technician II - Clinical Pharmacy Care Center

Schedule:

12pm-8:30pm EST

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.

About CarelonRx:

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.

Clinical Pharmacy Care Center (CPCC):

The Clinical Pharmacy Care Center (CPCC) is a clinical pharmacy call center that services Medicare, Medicaid, and the Commercial member populations. The members we reach out to have been identified as having gaps in care. Our goal is to close those gaps through education and assistance.

Role Summary:

The Pharmacy Technician II - Clinical Pharmacy Care Center is 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 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 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
• For the CPCC business area a current Pharmacy Tech license and certification is required.

Preferred Skills, Capabilities and Experiences:

• Experience communicating with and supporting Medicare members preferred.
• Call center experience with high call volumes preferred.
• Experience in discussing medication adherence preferred.
• Proficient in computer systems and multitasking preferred.
• Patient care experience preferred.

Professional Competencies (for URAC accredited areas):

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

Agency Resumes Policy:

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.

Benefits:

• 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
• financial education resources