Location: 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 approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
**Must have Florida license**
Hours:
Tuesday-Saturday 10:30am-7:00pm, off Sunday and Monday
Saturday 8:00-4:30pm
The Pharmacy Technician III serves as a senior-level technician and subject matter expert (SME) within specialty pharmacy front-end operations. This role is responsible for executing end-to-end workflow processes, supporting cross-functional operations, and improving throughput by addressing bottlenecks and high-priority work across multiple functional areas.
How you'll make a difference:
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Verifies member and provider information and inputs data for the pharmacists and other clinicians to review.
- Processes prior authorization requests from physicians' offices and ensures compliance with all Medicaid, Commercial, and Medicare requirements; informs relevant parties of all prior authorization determinations.
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Managing inbound and outbound communications, triaging and problem-solving pharmacy inquiries, ensuring any related patient and prescriber communication is completed and resolving all related open cases across patient services tool and pharmacy processing system, and managing prescription queue workflow.
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Manage and support more complex inquiries and support other lower level pharm techs.
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Provides resolution to grievances and appeals issues.
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Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
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Manages escalations and analyzing data and results of any process improvements.
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Generates reports related to necessary data for respective department, as well as other ad hoc reports as needed.
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Works in applicable queues, supporting clinicians and operations leadership with inbound requests in all lines of business.
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Acting as a subject matter expert in all respective areas and lines of business and maintains knowledge of new tasks to ensure continued education and support.
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Mentors and trains lower-level pharmacy technicians as needed.
Minimum Requirements:
Requires H.S. diploma or equivalent and minimum of 5 years of pharmacy experience.
Requires an active, valid, current and unrestricted state Pharmacy Technician license or national license 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.
Multi-state certification is required if this individual is providing services in multiple states.
Preferred skills, qualifications and experiences:
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Certified Pharmacy Technician preferred
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Experience in specialty pharmacy operations
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Strong communication and interpersonal skills
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Demonstrated problem-solving and analytical capabilities
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.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include 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) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act
