Pharmacy Technician II – Clinical Pharmacy Care Center

Elevance Health; Indianapolis (IN); Remoto; USD 26.000 - 33.000; Tempo pieno

Descrizione del lavoro

CarelonRx, part of Elevance Health, Inc., seeks a Pharmacy Technician II for the Clinical Pharmacy Care Center to support Medicare/Medicaid and commercial members. You will enter data for pharmacists, assist with prior authorizations, and address formulary questions.

This role emphasizes patient education, accuracy in processing steps, and timely communication with physicians and care teams. Training is provided in a clinical setting.

Competenze

• Active state Pharmacy Technician license if required by state law.
• State Pharmacy Technician Certification or National Certification.
• Minimum 2 years of pharmacy experience or equivalent education/experience.
• For CPCC: current Pharmacy Tech license and certification required.

Mansioni

• Verifies member information and inputs data for the pharmacists.
• Educates members on pharmacy-based rules and programs.
• Processes prior authorization requests and ensures Medicare compliance; informs relevant parties of determinations.
• Provides resolution to grievances and appeals.
• Responds to inquiries from physicians, sales team, and members about 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.

Conoscenze

Medicare knowledge

Call center experience

Medication adherence

Multitasking

Patient care

Formazione

High School Diploma

Pharmacy Technician Certification

Strumenti

Pharmacy software

Descrizione del lavoro

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.

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 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. 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.

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.