Pharmacy Technician II

Elevance Health • Tampa, FL

4d • Hybrid

About The Position

The Pharmacy Technician II at CarelonRx, part of Elevance Health, interprets and enters moderately complex prescriptions, processes prior authorizations, and troubleshoots adjudication issues. The role supports pharmacists and assists members, physicians, and other stakeholders with prescription benefits, formulary questions, and pharmacy resources.

The position is described as 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 scheduled shift is 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.

CarelonRx combines clinical expertise and pharmacy services to improve outcomes, control costs, and support members’ health. The role is classified as non-management and non-exempt.

Requirements

• Active professional license, if required by state law, and State Pharmacy Technician Certification or national certification based on applicable state or territory requirements to practice within the scope of practice.
• High school diploma or equivalent and at least 2 years of pharmacy experience, or an equivalent combination of education and experience.
• For the CPCC business area, a current Pharmacy Technician license and certification are required.
• For URAC-accredited areas, strong oral, written, and interpersonal communication, problem-solving, facilitation, and analytical skills are expected.

Nice To Haves

• Call center experience.
• PTCB certification is strongly preferred.

Responsibilities

• Verify member information and enter data for pharmacists.
• Educate members about pharmacy rules related to prescriptions and medication resources or assistance programs.
• Process prior authorization requests from physicians’ offices, ensure compliance with Medicare requirements, and communicate determinations to relevant parties.
• Help resolve grievance and appeal issues.
• Respond to inquiries from physicians, the sales team, and members about formularies and prescription benefits.
• Generate reports related to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc needs.
• 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 insurance
• Vision insurance
• Short- and long-term disability benefits
• 401(k) with matching contribution
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED