Pharmacy Technician II - Data Entry BioPlus Specialty Pharmacy

About the role

The Pharmacy Technician II - Data Entry BioPlus Specialty Pharmacy is responsible for interpreting and entering moderately complex prescriptions, handling prior authorization processes, and resolving adjudication issues. This role requires associates to work from the posted locations full-time.

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.

Requirements

• Requires H.S. diploma or equivalent and 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, Capabilities, and Experiences

• Specialty Pharmacy experience.
• PTCB Certification.
• Pharmacy claim adjudication experience.

Benefits

Elevance Health offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase, and a 401(k) match. Other benefits include medical, dental, vision, short and long term disability benefits, life insurance, wellness programs, and financial education resources.

Pay

The salary range for this specific position is $20.23/hr. to $30.35/hr., with a base rate of $20.23/hr. for the role. Location-specific salaries may vary based on geographic location, work experience, education, and/or skill level.

Schedule

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.