Remote Pharmacy Tech II: PA & Medicare Support

Elevance Health; Kentucky; Hybrid; USD 38,000 - 54,000; Full time

Job summary

Elevance Health in the United States is seeking a Pharmacy Technician II at the Mason, Ohio location. The role involves interpreting and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues, with hybrid/virtual work options and occasional in-person training.

You will verify member information, educate members on prescription rules, handle prior authorizations, resolve grievances, and maintain records.

Qualifications

• Active state license (as required) or national certification to practice pharmacy technicians.
• High school diploma or equivalent; minimum 2 years of pharmacy experience.
• Strong oral, written and interpersonal communication skills.

Responsibilities

• 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 physician 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.
• Maintains record keeping of prior authorizations, rebates, and monthly reports.

Job description

Elevance Health in the United States is seeking a Pharmacy Technician II at the Mason, Ohio location. The role involves interpreting and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues, with hybrid/virtual work options and occasional in-person training.

You will verify member information, educate members on prescription rules, handle prior authorizations, resolve grievances, and maintain records.