Pharmacy Technician II - CarelonRx Call Center

Elevance Health • Melvindale, MI

16d • Hybrid

About The Position

Pharmacy Technician II - CarelonRx Call Center Hours: 10:30 am - 7 pm or 12 pm - 8:30 pm EST Location: This role enables associates to work virtually full-time, with the exception of 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. structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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. A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The Clinical Pharmacy Care Center (CPCC) is a clinical pharmacy call center that services Medicare, Medicaid, and the Commercial member populations. The members we reach out to have been identified as having gaps in care. Our goal is to close those gaps through education and assistance. The Pharmacy Technician II is responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. How you will make an impact: Verifies member information and inputs data for the pharmacists. Educates members about prescriptions and medication resources or assistance programs. Educates members on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures. Assists members with scheduling their preventive test/screenings and medication resources or assistance programs. Makes outreach to members or providers to close care gaps and improve outcomes.

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

• PTCB or exCPhT certification preferred.
• Experience communicating with and supporting Medicare members preferred.
• Call center experience with high call volumes preferred.
• Experience in discussing medication adherence preferred.
• Proficient in computer systems and multitasking preferred.
• Patient care experience preferred.

Responsibilities

• Verifies member information and inputs data for the pharmacists.
• Educates members about prescriptions and medication resources or assistance programs.
• Educates members on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures.
• Assists members with scheduling their preventive test/screenings and medication resources or assistance programs.
• Makes outreach to members or providers to close care gaps and improve outcomes.

Benefits

• merit increases
• paid holidays
• Paid Time Off
• 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
• financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees