Pharmacy Technician I Data Entry - CarelonRx
Pharmacy Technician I Data Entry - CarelonRx
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Job Description
Anticipated End Date:
Position Title:
Pharmacy Technician I Data Entry CarelonRxJob Description:
Title: Pharmacy Technician I Data Entry
Location: Candidates must reside within 50 miles or 1hour commute each way of a relevant Elevance Health location: OHMASON 4241 IRWIN SIMPSON RD
Shift:
- MondayFriday 10:30am7:00pm
- Hybrid (inoffice 2 days/week WFH 3 days/week)
Build the Possibilities. Make an Extraordinary Impact.
The Pharmacy Technician I Data Entry is responsible for the interpretation and data entry of basic prescriptions prior authorization processing and troubleshooting adjudication issues.
How you will make an impact:
- 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.
Minimum 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.
For URAC accredited areas the following professional competencies apply: Associates in this role are expected to have strong oral written and interpersonal communication skills problemsolving skills facilitation skills and analytical skills.
Preferred Skills Capabilities and Experiences:
- Retail or mailorder background highly preferred.
- Tech savvyness highly preferred.
- Microsoft Teams proficiency.
- Ability to work and troubleshoot independently.
Job Level:
NonManagement NonExemptWorkshift:
1st Shift (United States of America)Job Family:
MED > Licensed/Certified Allied Health ProfessionalPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success for our consumers our associates our communities and our business.
We offer a range of marketcompetitive 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.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/memberfacing roles to become vaccinated against COVID19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Required Experience:
IC
Employment Type
Full-Time
