Pharmacy Technician II (Axium PR)

Elevance Health • San Juan, PR

1d • Hybrid

About The Position

Carelon, a member of the Elevance Health family of companies, provides pharmacy benefits services. By utilizing new technologies, a clinical-first approach, and deep pharmacy expertise, Carelon aims to innovate within the industry. The Pharmacy Technician II is responsible for interpreting and entering data for moderately complex prescriptions, processing prior authorizations, and resolving adjudication issues. Elevance Health, a Fortune 25 company, is dedicated to improving lives and communities by making healthcare simpler. Formerly known as Anthem, Inc., Elevance Health has evolved into a company focused on whole health, transforming into a lifetime trusted health partner. With nearly 100,000 associates, they serve approximately 100M+ people, addressing a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health.

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

• Fully Bilingual (English & Spanish). Must be able to write, read and speak both languages in a proficiency level is 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

• 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.

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs (unless covered by a collective bargaining agreement)
• medical benefits
• dental benefits
• vision benefits
• 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