Pharmacy Customer Associate III-2

Anticipated End Date:

Position Title:

Job Description:

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 thats 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 consumers treatment journey.

Pharmacy Customer Associate III

Location: This role requires associates to work from the posted locations full-time enabling consistent face-to-face collaboration teamwork and direct engagement. This policy promotes an environment built on in-person interaction communication and immediate support. This role will be based in TX-SAN ANTONIO 4751 HAMILTON WOLF RD STE 101.

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.

Schedule:This position will work an 8-hour from shift 8:00 am - 5:00 pm (EDT) Monday to Friday. Additional hours may be necessary based on company needs.

The Pharmacy Customer Associate IIIis responsible for responding to complex customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions.

How you will make an impact.

Primary duties may include but are not limited to:

• Develops and maintains positive customer relations and coordinates with functions within the company to ensure customer requests are handled and resolved appropriately and in a timely manner.
• Interacts with internal and external customers (could include subscribers providers group or benefit administrators physicians offices third party representatives and other Blue Cross Plans) to provide claims customer service and/or membership support.
• Responds to client issues via telephone and written correspondence regarding insurance benefits member provider contracts eligibility claims etc.
• Completes necessary research to provide proactive thorough solutions.
• Displays ownership of service requests ensuring high quality resolution and follow-thru.
• Supports and guides the customer with their personal options and decisions and helps the customer become knowledgeable and confident about using technology tools and resources available to them.
• Promotes process improvement opportunities including responding to suggestions communicated by customers.

Minimum Requirements:

• Requires HS diploma or equivalent and a minimum of 3 years of experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills Capabilities and Experiences:

• Certified Pharmacy Technician (CPhT) or related certification preferred.
• Knowledge of the 340B program and experience with specialty medications is highly preferred.
• Familiarity with benefits investigation and pharmacy PBM processes is preferred.
• Proficiency in using healthcare information systems and Microsoft Office applications is preferred.
• General knowledge of company pharmacy services products insurance benefits contracts and claims preferred.

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.

Job Level:

Workshift:

Job Family:

Please 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 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.

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 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.