Remote Prior Authorization Pharmacy Tech II

Elevance Health, Inc.; Atlanta (GA); Híbrido; USD 42.000 - 52.000; Jornada completa

Descripción de la vacante

Elevance Health, Inc. is seeking a Prior Authorization Pharmacy Technician II to interpret and data-enter moderately complex prescriptions and handle prior authorization processing. The role includes troubleshooting adjudication issues and ensuring Medicare compliance.

The position supports in-person training while offering virtual, full-time work options. Hybrid/alternate locations may be considered if commuting distance allows, with policy restrictions noted.

Formación

• Active license or certification as required by state law.
• Minimum 2 years of pharmacy experience or equivalent education/experience.
• Familiarity with Medicare requirements and formulary basics.

Responsabilidades

• Verifies member information and inputs data for pharmacists.
• Educates members on pharmacy rules and medication resources or assistance programs.
• Processes prior authorization requests from physician offices and ensures compliance with Medicare requirements.
• Provides resolution to grievances and appeals.
• Responds to inquiries from physicians, sales team, and members regarding formulary and benefits.
• Maintains records of prior authorizations, rebates, and monthly reports.

Conocimientos

Pharmacy data entry

Prior authorization processing

Patient education

Regulatory compliance

Educación

Active Pharmacy Technician Certification or Licensure

High School Diploma or equivalent

Descripción del empleo

Elevance Health, Inc. is seeking a Prior Authorization Pharmacy Technician II to interpret and data-enter moderately complex prescriptions and handle prior authorization processing. The role includes troubleshooting adjudication issues and ensuring Medicare compliance.

The position supports in-person training while offering virtual, full-time work options. Hybrid/alternate locations may be considered if commuting distance allows, with policy restrictions noted.