Pharmacy Tech II - Call Center

$37,523 - $61,922/Yr

Elevance Health - Grand Prairie, TX

Full-time - Entry Level

Grand Prairie, TX

11-50 employees

Insurance Carriers and Related Activities

About the position

The Pharmacy Technician II - Call Center position at Elevance Health is a remote role focused on providing member-centered pharmacy care. The technician will be responsible for interpreting and entering moderately complex prescriptions, processing prior authorizations, and addressing adjudication issues. This role requires strong communication skills and the ability to educate members on pharmacy-related rules and resources.

Responsibilities

• 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.

Requirements

• 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.
• 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.

Nice-to-haves

• Excellent communication skills with Medicaid and Commercial members a plus.
• Call center experience with high call volumes preferred.
• Experience in discussing medication adherence a plus.
• Proficient in computer systems and multitasking preferred.
• Patient care experience preferred.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Paid holidays
• Paid Time Off
• Medical, dental, vision benefits
• Short and long term disability benefits
• Life insurance
• Wellness programs
• Financial education resources