Pharmacy Technician I - Bilingual

Pharmacy Technician I - Bilingual (Spanish)

Shift Schedule: Monday-Friday (shift start times vary on rotation schedule)

A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.

The Pharmacy Tech I 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.
• Bilingual (Spanish) or multi-language skills required. Must be able to pass a validated language test/assessment.

Preferred Capabilities, Skills, and Experiences:

• Excellent communication skills preferred.
• Bilingual in English and Spanish
• Call center experience with high call volumes preferred.
• Proficient in computer systems and multitasking preferred.
• Patient care experience a plus.
• Prior authorization experience a plus.

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.