Pharmacy Tech II-Bilingual

Elevance HealthAtlanta, GA
Remote

About The Position

CarelonRx, a proud member of the Elevance Health family of companies, is seeking a Pharmacy Technician II-Bilingual. CarelonRx combines a clinical-first approach with extensive pharmacy expertise to develop solutions that enhance member outcomes, manage costs, and improve overall health. This role is primarily virtual, offering flexibility and autonomy, with occasional in-person training sessions. Alternate locations may be considered if candidates are within a commuting distance to an office, but candidates outside of a reasonable commuting distance will not be considered unless an accommodation is granted.

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.

Nice To Haves

  • Call center experience preferred.

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 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.

Benefits

  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources
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