Pharmacy Technician III

Elevance Health • Lake Mary, FL

2d • Hybrid

About The Position

The Pharmacy Technician III serves as a senior-level technician and subject matter expert (SME) within specialty pharmacy front-end operations. This role is responsible for executing end-to-end workflow processes, supporting cross-functional operations, and improving throughput by addressing bottlenecks and high-priority work across multiple functional areas. 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The hours for this position are Tuesday-Saturday 10:30am-7:00pm, with Sunday and Monday off, or Saturday 8:00-4:30pm.

Requirements

• Requires H.S. diploma or equivalent and minimum of 5 years of pharmacy experience.
• Requires an active, valid, current and unrestricted state Pharmacy Technician license or national license 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.
• Multi-state certification is required if this individual is providing services in multiple states.
• Must have Florida license

Nice To Haves

• Certified Pharmacy Technician preferred
• Experience in specialty pharmacy operations
• Strong communication and interpersonal skills
• Demonstrated problem-solving and analytical capabilities

Responsibilities

• Verifies member and provider information and inputs data for the pharmacists and other clinicians to review.
• Processes prior authorization requests from physicians’ offices and ensures compliance with all Medicaid, Commercial, and Medicare requirements; informs relevant parties of all prior authorization determinations.
• Managing inbound and outbound communications, triaging and problem-solving pharmacy inquiries, ensuring any related patient and prescriber communication is completed and resolving all related open cases across patient services tool and pharmacy processing system, and managing prescription queue workflow.
• Manage and support more complex inquiries and support other lower level pharm techs.
• Provides resolution to grievances and appeals issues.
• Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
• Manages escalations and analyzing data and results of any process improvements.
• Generates reports related to necessary data for respective department, as well as other ad hoc reports as needed.
• Works in applicable queues, supporting clinicians and operations leadership with inbound requests in all lines of business.
• Acting as a subject matter expert in all respective areas and lines of business and maintains knowledge of new tasks to ensure continued education and support.
• Mentors and trains lower-level pharmacy technicians as needed.

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs
• 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