Pharmacy Technician II

Elevance Health • Lake Mary, FL

2d • Hybrid

About The Position

Pharmacy Technician II Location: Lake Mary, Florida Shifts: 8am-4:30pm EST 10:30am-7pm EST 1:30pm-10pm EST Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. 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. BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey. The Pharmacy Technician II is responsible for partnering with healthcare providers on complex elements and benefit plans to ensure appropriate and consistent administration of benefits. How you will make an impact: Serves as mentor for less experienced staff. Serves as department representative on intra-departmental initiatives. Assists in formal training of associates and process improvement initiatives. Conducts reviews by utilizing appropriate scripted algorithms in compliance with department guidelines and consistent with the members eligibility, benefits and contract. Develops working partnerships with physicians, healthcare service providers, and internal and external customers. Consults with clinical reviewers. Refers treatment plans to peer clinical reviewers in accordance with established criteria/guidelines.

Requirements

• Requires H.S. diploma or equivalent and minimum of 3 years of utilization review or managed care experience; or any combination of education and experience, which would provide an equivalent background.
• Requires an active, Pharmacy Technician 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.
• 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.

Nice To Haves

• 3 years of pharmacy experience preferred.
• Specialty pharmacy experience preferred.

Responsibilities

• Serves as mentor for less experienced staff.
• Serves as department representative on intra-departmental initiatives.
• Assists in formal training of associates and process improvement initiatives.
• Conducts reviews by utilizing appropriate scripted algorithms in compliance with department guidelines and consistent with the members eligibility, benefits and contract.
• Develops working partnerships with physicians, healthcare service providers, and internal and external customers.
• Consults with clinical reviewers.
• Refers treatment plans to peer clinical reviewers in accordance with established criteria/guidelines.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and 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 and financial education resources, to name a few.

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