Remote Pharmacy Technician II: PA & Support

Elevance Health, Inc.; Miami (FL); Hybride; USD 42 000 - 58 000; Plein temps

Résumé du poste

Elevance Health, Inc. is seeking a Pharmacy Technician II to join CarelonRx. This hybrid role supports virtual work with required in-person training sessions and occasional office visits depending on distance.

The schedule is an 8-hour shift from 12:00 pm to 8:30 pm EST, Monday through Friday, with potential additional hours. You will interpret and enter moderately complex prescriptions, process prior authorizations, and troubleshoot adjudication issues.

Qualifications

• Requires an active professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States.
• Requires HS. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
• For the CPCC business area a current Pharmacy Tech license and certification is required.

Responsabilités

• 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 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.
• 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.

Connaissances

Call center experience

PTCB Certification

Strong communication skills

Formation

HS diploma or equivalent

State/National Pharmacy Technician Certification

Description du poste

Elevance Health, Inc. is seeking a Pharmacy Technician II to join CarelonRx. This hybrid role supports virtual work with required in-person training sessions and occasional office visits depending on distance.

The schedule is an 8-hour shift from 12:00 pm to 8:30 pm EST, Monday through Friday, with potential additional hours. You will interpret and enter moderately complex prescriptions, process prior authorizations, and troubleshoot adjudication issues.