Pharmacy Technician II — Remote/Hybrid (Prior Auth Focus)

Elevance Health, Inc.; Atlanta (GA); Remote; USD 25,000 - 30,000; Full time

Job summary

Elevance Health is seeking a Pharmacy Technician II to support the CarelonRx operations. The role involves data entry for prescriptions, prior authorization processing, and resolution of adjudication issues within a healthcare environment.

The position supports virtual work with required in-person training sessions; meaningful interactions with pharmacists and members are expected to ensure compliance and care quality.

Qualifications

• Requires an active, professional license (State Pharmacy Technician Certification or National Certification) to practice as a Pharmacy Technician.
• HS diploma or equivalent and minimum of 2 years of pharmacy experience.
• For CPCC business area a current Pharmacy Tech license and certification is required.

Responsibilities

• Interprets and data-enters moderately complex prescriptions.
• Processes prior authorizations and troubleshoots adjudication issues.
• Verifies member information and inputs data for pharmacists.
• Educates members on pharmacy rules related to prescriptions and medication resources or assistance programs.
• Processes prior authorization requests from physicians and ensures Medicare compliance; informs relevant parties of determinations.
• Maintains record keeping of prior authorizations, rebates, and monthly reports.

Skills

Call center experience

PTCB Certification

Education

HS diploma or equivalent

Tools

Pharmacy software

Job description

Elevance Health is seeking a Pharmacy Technician II to support the CarelonRx operations. The role involves data entry for prescriptions, prior authorization processing, and resolution of adjudication issues within a healthcare environment.

The position supports virtual work with required in-person training sessions; meaningful interactions with pharmacists and members are expected to ensure compliance and care quality.