Job Information
Elevance Health Pharmacy Tech I in ATLANTA, Georgia
Pharmacy Technician I
As a Pharmacy Technician I, you will be 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.
This position is a hybrid position. You will be required to complete onsite training prior to working from home.
Hours: Monday - Friday (off Saturday and Sunday)
Must be available to work a 8 hour shift within the listed hours in your specified time zones:
9:00am-5:30pm Pacific Time
10:00am-6:30pm Mountain Time
11:00am-7:30pm Central Time
12:00pm-8:30pm Eastern Time
Minimum Requirements:
Requires H.S. diploma or equivalent.
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.
Preferred skills, contributions, and experience:
- 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.