Pharmacy Tech I (US)

Elevance Health•Garden Grove, CA

12d•Remote

About The Position

Pharmacy Technician I (US) Virtual: 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. The Pharmacy Technician I (US) will be 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

For URAC accredited areas, associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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.