Pharmacy Technician II - Bilingual

Elevance Health • Tampa, FL

5d • Remote

About The Position

The Pharmacy Technician II-Bilingual works for CarelonRx, a member of the Elevance Health family of companies. The role may be performed virtually full-time, except for required in-person training sessions. Candidates must live within a reasonable commuting distance of a posting location unless an accommodation is granted. The position interprets and enters moderately complex prescriptions, processes prior authorizations, and troubleshoots adjudication issues.

The schedule is an 8-hour shift from 12:00 p.m. to 8:30 p.m. EST, Monday through Friday. Additional hours, including weekends or holidays, may be required based on operational needs.

Requirements

• Current, active, valid, unrestricted professional license if required by state law, and state pharmacy technician certification or national certification as required by applicable state or territory requirements.
• For the CPCC business area, a current pharmacy technician license and national certification are required.
• High school diploma or equivalent and at least 2 years of pharmacy experience, or an equivalent combination of education and experience.
• Bilingual Spanish or other multilingual skills.
• Ability to pass a validated language test or assessment.

Nice To Haves

• Call center experience.
• PTCB certification.

Responsibilities

• Verify member information and enter data for pharmacists.
• Educate members about pharmacy-based prescription rules, medication resources, and assistance programs.
• Process prior authorization requests from physician offices, ensure compliance with Medicare requirements, and inform relevant parties of determinations.
• Resolve grievance and appeal issues.
• Respond to physician, sales team, and member inquiries concerning formularies and prescription benefits.
• Generate reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc matters.
• Maintain records of prior authorizations, rebates, and monthly reports.
• Interpret and enter moderately complex prescriptions and troubleshoot adjudication issues.

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) with matching
• 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