Pharmacy/Technician

Pharmacy Tech II-BilingualPharmacy Technician II-BilingualLocation: This role enables associates to work virtually full-time, except for 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. Alternate locations may be considered if candidates reside within a commuting distance from an office.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.CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member's health.Schedule: This role will be working 12:00 pm-8:30 pm EST Monday thru Friday.The Pharmacy Technician 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 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.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.Minimum Requirements:Requires an 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.Preferred Skills, Capabilities and Experiences:Call center experience preferred.PTCB Certification Strongly 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.Job Level: Non-Management Non-ExemptWorkshift: Job Family: MED > Licensed/Registered Pharmacist/Pharmacy Technician