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Pharmacy Technician

Elevance Health

Pharmacy Technician II-BilingualPharmacy Technician II-BilingualLocation: 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 ESTTraining 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-ExemptWorkshift:Job Family: MED > Licensed/Registered Pharmacist/Pharmacy Technician

Vacancy posted 3 days ago
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