Pharmacy Technician II — Virtual Clinical Center

Elevance Health, Inc.; Indianapolis (IN); Remote; USD 26,000 - 33,000; Full time

Job summary

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.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Medicare knowledge

Call center experience

Medication adherence

Multitasking

Patient care

Education

High School Diploma

Pharmacy Technician Certification

Tools

Pharmacy software

Job description

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.