Pharmacy Technician II-Bilingual
Elevance Health
Pharmacy Technician II-Bilingual
Pharmacy Technician II-Bilingual
Location: Virtual - This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Work Schedule: Monday - Friday; 12:00pm - 8:30pm EST
Training Schedule: Monday - Friday; 8:30am - 5pm EST (for 5 weeks)
The Pharmacy Tech II-Bilingual will be responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues.
How you will make an impact:
- 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 physician's offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations.
- Provides resolutions 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 a current active, valid unrestricted 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.
- Requires a HS diploma or equivalent and a minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
- Bilingual (Spanish) or multi-language skills required.
- Must be able to pass a validated language test/assessment.
- For the CPCC business area a current Pharmacy Tech license and certification is required.
Preferred Skills, Capabilities and Experiences:
- Call Center experience is strongly preferred.
- Adherence and MTM (Medication Therapy Management) experience is preferred.
Job Level: Non-Management Non-Exempt
Workshift:
Job Family: MED > Licensed/Registered Pharmacist/Pharmacy Technician
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