Pharmacy Technician I

5 days ago


Hialeah, Florida, United States Elevance Health Full time

Job Summary:

The Pharmacy Technician I role at Elevance Health is a vital part of our team, responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.

Key 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.
  • Provides resolution to grievances and appeals issues.
  • Responds to inquiries from physicians, sales teams, 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.

Requirements:

  • Requires a high school diploma or equivalent and a minimum of 1 year of pharmacy experience.
  • Current State Pharmacy Tech. Certification or National Certification based on applicable state(s) required.
  • Bilingual (Spanish) or multi-language skills required.

About Elevance Health:

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Why Join Us:

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long-term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs, and financial education resources.

Work Environment:

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

Equal Employment Opportunity:

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status or condition protected by applicable federal, state, or local laws.

Accommodation:

Applicants who require accommodation to participate in the job application process may contact us for assistance.


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