Pharmacy Technician II
Elevance Health · Tampa, FL · 6 days ago
HealthcareFull-time
About the Role
This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This position will be based in Tampa, FL or Miami, FL. Alternate locations may be considered if candidates reside within a commuting distance from an office. Candidates not within a reasonable commuting distance will not be considered for employment, unless an accommodation is granted as required by law.
Schedule
This position will work an 8-hour shift from 10:00 am - 6:30 pm (EST), Monday to Friday. Additional hours may be necessary based on company needs.
Responsibilities
- Complete administrative and clerical tasks to support pharmacists and pharmacy operations, including verifying member/patient information, updating patient profiles, and entering accurate data.
- Educate members on pharmacy rules related to prescriptions, formulary/prescription benefits, and available medication resources or assistance programs.
- Process prior authorization requests from physicians’ offices, ensuring compliance with Medicare requirements, and communicate determinations to appropriate parties.
- Respond to inquiries from physicians, the sales team, and members regarding formulary and prescription benefit questions.
- Assist with grievance and appeals resolution activities related to pharmacy services.
- Contact healthcare providers as needed to obtain clarifications, support prescription transfers, or facilitate pharmacist review/intervention.
- Assist with documentation and reporting of adverse events to applicable contractual manufacturers, following established procedures.
- Generate and maintain reports and records related to prior authorizations, rebates, physician utilization, Beers Criteria, Reliance members, monthly reporting, and other ad hoc reporting needs.
- Perform other pharmacy technician duties as delegated and supervised by a licensed pharmacist, within the technician’s permitted scope of practice.
Requirements
- Requires a high school diploma or equivalent and a minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
- Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States.
Preferred Skills and Experience
- PTCB Certification is strongly preferred.
- Pharmacy claim adjudication experience is preferred.
- Experience in a high volume, strong attention to detail position is highly preferred.
- Ability to communicate information clearly and concisely, both orally and in writing, in a professional environment is preferred.
Benefits
- 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) with company match, stock purchase plan, life insurance.
- Wellness programs and financial education resources.