Pharmacy Technician I

2 weeks ago

Miami, Florida, United States Elevance Health Full time
Job Summary:

We are seeking a highly skilled Pharmacy Technician I to join our team at Elevance Health. As a Pharmacy Technician I, you will play a critical role in the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.

Key Responsibilities:
  • Verify member information and input data for pharmacists.
  • Educate members on pharmacy-based rules related to prescriptions and medication resources or assistance programs.
  • Process prior authorization requests from physicians' offices and ensure compliance with Medicare requirements.
  • Inform relevant parties of all prior authorization determinations.
  • Provide resolution to grievances and appeals issues.
  • Respond to inquiries from physicians, sales teams, and members related to formulary and prescription benefits.
  • Generate reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.
  • Maintain record-keeping of prior authorizations, rebates, and monthly reports.

Requirements:
  • 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.

Preferred Skills:
  • Strong oral, written, and interpersonal communication skills.
  • Problem-solving skills.
  • Facilitation skills.
  • Analytical skills.

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:

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes, and drive our shared success – for our consumers, our associates, our communities, and our business.

What We Offer:

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, to name a few.

Hybrid Workforce Strategy:

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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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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