Remote Pharmacy Technician: PA & Data Entry

Elevance Health; Garden Grove (CA); On-site; USD 28,000 - 41,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase plan

Job summary

Elevance Health in California seeks Pharmacy Technician I (US) for a virtual role with occasional in-person training. You will interpret and data entry basic prescriptions, handle prior authorization processing, and troubleshoot adjudication issues.

You will verify member information, educate on prescription rules, process PA requests, address grievances, respond to inquiries, and generate reports on rebates and formulary usage.

Qualifications

• Requires H.S. diploma or equivalent and minimum of 1 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
• Current State Pharmacy Tech Certification or National Certification based on applicable state(s) required.

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 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.

Skills

Oral communication

Written communication

Interpersonal skills

Analytical skills

Problem-solving

Education

High school diploma

Pharmacy Technician Certification

National Certification

Job description

Elevance Health in California seeks Pharmacy Technician I (US) for a virtual role with occasional in-person training. You will interpret and data entry basic prescriptions, handle prior authorization processing, and troubleshoot adjudication issues.

You will verify member information, educate on prescription rules, process PA requests, address grievances, respond to inquiries, and generate reports on rebates and formulary usage.