Remote Pharmacy Technician II - Clinical Care Center

Elevance Health; United States; Remote; USD 45,000 - 60,000; Full time

Job summary

Elevance Health is seeking a Pharmacy Technician II for the Clinical Pharmacy Care Center, a role focused on interpreting and data entry for moderately complex prescriptions and prior authorizations. It serves Medicare, Medicaid, and Commercial member populations under a clinical-first approach.

This position can be fully virtual with required in-person training; hybrid options may be available if commuting is feasible.

Qualifications

• Active state licensure or national certification as required by state law.
• HS diploma and 2+ years of pharmacy experience.
• Call center experience is preferred.

Responsibilities

• Verifies member information and inputs data for the pharmacists.
• Processes prior authorization requests from physicians' 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.
• Educates members about prescriptions and medication resources or assistance programs, and on medication adherence-related topics to align with STARs and HEDIS measures.
• Assists members with scheduling preventive tests/screenings and medication resources or assistance programs.
• Makes outreach to members or providers to close care gaps and improve outcomes.

Skills

Call center experience

Education

High School Diploma or equivalent

Job description

Elevance Health is seeking a Pharmacy Technician II for the Clinical Pharmacy Care Center, a role focused on interpreting and data entry for moderately complex prescriptions and prior authorizations. It serves Medicare, Medicaid, and Commercial member populations under a clinical-first approach.

This position can be fully virtual with required in-person training; hybrid options may be available if commuting is feasible.