Pharmacy Technician II

• Complete administrative and clerical tasks to support pharmacists and pharmacy operations, including verifying member/patient information, updating patient profiles, and entering accurate data.
• Educate members on pharmacy rules related to prescriptions, formulary/prescription benefits, and available medication resources or assistance programs.
• Process prior authorization requests from physicians' offices, ensuring compliance with Medicare requirements, and communicate determinations to appropriate parties.
• Respond to inquiries from physicians, the sales team, and members regarding formulary and prescription benefit questions.
• Assist with grievance and appeals resolution activities related to pharmacy services.
• Contact healthcare providers as needed to obtain clarifications, support prescription transfers, or facilitate pharmacist review/intervention.
• Assist with documentation and reporting of adverse events to applicable contractual manufacturers, following established procedures.
• Generate and maintain reports and records related to prior authorizations, rebates, physician utilization, Beers Criteria, Reliance members, monthly reporting, and other ad hoc reporting needs.
• Perform other pharmacy technician duties as delegated and supervised by a licensed pharmacist, within the technician's permitted scope of practice.

• 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
  

• PTCB Certification is strongly preferred.
  
• Pharmacy claim adjudication experience is preferred.
  
• Experience in a high volume, strong attention to detail position is highly preferred.
  
• Ability to communicate information clearly and concisely, both orally and in writing, in a professional environment is preferred.
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

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.

How We Work

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.

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.

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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. Applicants who require accommodation to participate in the job application process may contact View email address on us.fitly.work for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act