Remote Pharmacy Tech II – Clinical Care Center

Elevance Health; Indianapolis (IN); A distancia; USD 25.000 - 39.000; Jornada completa

Descripción de la vacante

Elevance Health, through CarelonRx, is hiring a Pharmacy Technician II – Clinical Pharmacy Care Center (CPCC) for remote full-time work. The role handles interpretation and data entry of moderately complex prescriptions, prior authorization, and adjudication troubleshooting for Medicare, Medicaid, and Commercial members.

You will verify information, process prior authorizations, resolve grievances, respond to inquiries, and educate members on prescriptions, adherence programs, and available

Formación

• Active state license or national certification as required by state law.
• High school diploma or equivalent with at least 2 years of pharmacy experience.

Responsabilidades

• Verifies member information and inputs data for the pharmacists.
• Processes prior authorization requests and ensures compliance with Medicare requirements.
• 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 about medication adherence topics to align with STARs and HEDIS measures.
• Assists members with scheduling preventive tests or screenings and accessing medication resources.
• Makes outreach to members or providers to close care gaps and improve outcomes.

Conocimientos

Call center experience

Educación

State Pharmacy Technician Certification

Descripción del empleo

Elevance Health, through CarelonRx, is hiring a Pharmacy Technician II – Clinical Pharmacy Care Center (CPCC) for remote full-time work. The role handles interpretation and data entry of moderately complex prescriptions, prior authorization, and adjudication troubleshooting for Medicare, Medicaid, and Commercial members.

You will verify information, process prior authorizations, resolve grievances, respond to inquiries, and educate members on prescriptions, adherence programs, and available