About The Position

The CarelonRx Home Delivery Pharmacy will deliver a digital first pharmacy experience that is convenient, simpler to use, and more affordable for our patients and payors. Our Pharmacy model focuses on whole person care, providing the best member experience to drive adherence, affordability, and improved overall health outcomes by putting the patient first. Part-Time Pharmacy Technician I, Data Entry $1K Sign-On Bonus Location: OH-MASON, 4361 IRWIN SIMPSON RD Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. 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. The first 90 days of employment will be fully onsite; hybrid model will take effect after the 90 days. The Part-Time Pharmacy Technician I, Data Entry is responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.

Requirements

  • Requires H.S. diploma or equivalent and minimum of 1 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
  • Current State Pharmacy Tech. Certification or National Certification based on applicable state(s) required.

Nice To Haves

  • Retail or mail-order background highly preferred.
  • Tech savvy-ness highly preferred.
  • Microsoft Teams proficiency.
  • Ability to work and troubleshoot independently.

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.

Benefits

  • 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.

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What This Job Offers

Job Type

Part-time

Career Level

Entry Level

Industry

Insurance Carriers and Related Activities

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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