Pharmacy Customer Associate III

Elevance Health • San Antonio, TX

1d • Onsite

About The Position

Pharmacy Customer Associate III Location: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support. This role will be based in TX-SAN ANTONIO, 4751 HAMILTON WOLF RD, STE 101. 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. Schedule:This position will work an 8-hour from shift 8:30 am - 5:30 pm (CST) Monday to Friday. Additional hours may be necessary based on company needs. BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey. The Pharmacy Customer Associate III is responsible for responding to complex customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions. How you will make an impact. Primary duties may include, but are not limited to:

Requirements

• Requires HS diploma or equivalent and a minimum of 3 years of experience; or any combination of education and experience which would provide an equivalent background.

Nice To Haves

• Certified Pharmacy Technician (CPhT) or related certification preferred.
• Knowledge of the 340B program and experience with specialty medications is highly preferred.
• Familiarity with benefits investigation and pharmacy PBM processes is preferred.
• Proficiency in using healthcare information systems and Microsoft Office applications is preferred.
• General knowledge of company pharmacy services, products, insurance benefits, contracts and claims 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.

Responsibilities

• Develops and maintains positive customer relations and coordinates with functions within the company to ensure customer requests are handled and resolved appropriately and in a timely manner.
• Interacts with internal and external customers (could include subscribers, providers, group or benefit administrators, physicians offices, third party representatives, and other Blue Cross Plans) to provide claims, customer service, and/or membership support.
• Responds to client issues via telephone and written correspondence regarding insurance benefits member, provider contracts, eligibility, claims, etc.
• Completes necessary research to provide proactive, thorough solutions.
• Displays ownership of service requests ensuring high quality resolution and follow-thru.
• Supports and guides the customer with their personal options and decisions and helps the customer become knowledgeable and confident about using technology, tools and resources available to them.
• Promotes process improvement opportunities including responding to suggestions communicated by customers.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED