Pharmacy Technician II at Elevance Health

Indianapolis, Indiana, United States

Apply Now

Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, PharmacyIndustries

Requirements

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
H.S. diploma or equivalent
Minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background

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
Interpretation and data entry of moderately complex prescriptions
Prior authorization processing
Troubleshooting adjudication issues

Skills

Key technologies and capabilities for this role

Pharmacy TechnicianPrescription Data EntryPrior AuthorizationMedicare ComplianceMember EducationAdjudication TroubleshootingGrievances and Appeals

Questions & Answers

Common questions about this position

Is this position remote or hybrid?

This role enables associates to work virtually full-time, with the exception of required in-person training sessions. Alternate locations may be considered if candidates reside within a commuting distance from an office, but candidates not within a reasonable commuting distance from the posting location(s) will not be considered unless an accommodation is granted.

What are the minimum qualifications for this role?

Requires an active, professional license if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state requirements, H.S. diploma or equivalent, and minimum of 2 years of pharmacy experience, or equivalent combination of education and experience.

What are the work hours for this position?

The work hours are Monday - Friday, 12:00pm - 8:30pm EST.

What preferred experience is mentioned for this role?

Call center experience is preferred.

What tips can help me stand out as a candidate?

Highlight your active Pharmacy Technician certification or license, at least 2 years of pharmacy experience, and any call center background to align with the preferred skills.

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

Land your dream remote job 3x faster with AI

Try Jobo Free