[Hiring] Pharmacy Tech II @The Elevance Health Companies, Inc.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Pharmacy Tech II is responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. • 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. Qualifications • Requires H.S. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background. • Requires an 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. Requirements • Call center experience with high call volumes preferred. • Prior authorization experience preferred. • Patient care experience preferred. • Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Benefits • Comprehensive benefits package. • Incentive and recognition programs. • Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). Apply tot his job Apply To this Job