Pharmacy Tech I
| Company | Elevance Health |
|---|---|
| Location | Las Vegas, NV, USA, Winston-Salem, NC, USA, St. Louis, MO, USA, Mason, OH, USA, Norfolk, VA, USA |
| Salary | $17.77 – $26.65 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Entry Level/New Grad, Junior |
Requirements
- Requires H.S. diploma or equivalent and minimum of 1 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
- Current State Pharmacy Tech. Certification or National Certification based on applicable state(s) required.
Responsibilities
- Verifies member information and inputs data for the pharmacists.
- Educates members on pharmacy based rules related to prescriptions and medication resources or assistance programs.
- Processes prior authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations.
- Provides resolution to grievances and appeals issues.
- Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits. Generates reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.
- Maintains record keeping of prior authorizations, rebates, and monthly reports.
Preferred Qualifications
- Excellent communication skills preferred.
- Call center experience with high call volumes preferred.
- Proficient in computer systems and multitasking preferred.
- Patient care experience a plus.
- Prior authorization experience a plus.