Pharmacy Technician l

Pharmacy Technician l

Location : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint location.

The Pharmacy Technician l is responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.

How you will make an impact:

• Verify 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.

Minimum Requirements:

• 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.

Preferred Skills, Capabilities, and Experiences:

• Experience in high volume mail order or specialty pharmacy preferred.

• Experience in high volume call center/customer service preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.