REMOTE Pharmacy Tech - Virtual Hiring Event

Company: Elevance Health
Location: Boulder City
Posted on: September 22, 2022

Job Description:

What can Elevance Health do for you: - Fully Remote - Competitive pay - Career path & development opportunities - Education reimbursement - 401K match - Health, dental, vision & life insurance - Employee discount program - PTO and 8 paid holidays Responsibilities: Responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues. Primary duties may include, but not limited to: - 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. Qualifications: H.S. diploma or equivalent 2 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. Call Center open 7 days/week Shift hours 6am-6pm PST

Keywords: Elevance Health, Las Vegas , REMOTE Pharmacy Tech - Virtual Hiring Event, Healthcare , Boulder City, Nevada