Pharmacy Technician II - CarelonRx
Core
Interpret and data entry moderately complex prescriptions, process prior authorizations, and troubleshoot adjudication issues for pharmacy members.
Role type
Licensed pharmacy technician (virtual)
Builds
Prescription processing and prior authorization workflows for Elevance Health members
Domain
Healthcare / Pharmacy benefits administration
Deliverable
client delivery
Required skills
State Pharmacy Technician Certification, National Certification, data entry, Medicare compliance knowledge, grievance and appeals resolution, medication adherence education
Preferred skills
Call center experience, oral communication, written communication, problem-solving, analytical skills
Technologies
None explicitly stated
Responsibilities
Verify member information and input data for pharmacists; Process prior authorization requests from physicians' offices; Provide resolution to grievances and appeals issues; Respond to inquiries from physicians, sales team, and members related to formulary and prescription benefits; Educate members about prescriptions and medication resources; Assist members with scheduling preventive tests/screenings; Make outreach to members or providers to close care gaps
Seniority
Non-Management Non-Exempt