Remote Pharmacy Tech II: Prior Auth & Member Support

Elevance Health; Tampa (FL); Hybrid; USD 22,000 - 41,000; Part time

Job summary

Elevance Health is seeking a Pharmacy Technician for a remote (hybrid) role in the Tampa area. The position supports pharmacies with prior authorizations, member education, and formulary guidance while maintaining compliance with Medicare requirements.

The candidate should have a high school diploma or equivalent and at least 2 years of pharmacy experience, plus applicable licensure where required by state law.

Qualifications

• HS diploma or equivalent with at least 2 years of pharmacy experience.
• URAC competencies include strong oral, written and interpersonal communication, problem-solving, facilitation, and analytical skills.

Responsibilities

• Verifies member information and inputs data for pharmacists.
• Educates members on pharmacy rules related to prescriptions and resources or assistance programs.
• Processes prior authorization requests and ensures Medicare compliance; informs relevant parties of 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.
• Requires an active professional license to practice as a Pharmacy Technician where required by state law.

Skills

Oral communication

Written communication

Interpersonal skills

Problem-solving

Facilitation skills

Analytical skills

Active license

Education

High school diploma or equivalent

Job description

Elevance Health is seeking a Pharmacy Technician for a remote (hybrid) role in the Tampa area. The position supports pharmacies with prior authorizations, member education, and formulary guidance while maintaining compliance with Medicare requirements.

The candidate should have a high school diploma or equivalent and at least 2 years of pharmacy experience, plus applicable licensure where required by state law.