Let’s get started
By clicking ‘Next’, I agree to the Terms of Service
and Privacy Policy
Jobs / Job page
Pharmacy Tech I (US) image - Rise Careers
Job details

Pharmacy Tech I (US)

Anticipated End Date:

2025-04-05

Position Title:

Pharmacy Tech I (US)

Job Description:

Be Part of an Extraordinary Team  

BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey.

Pharmacy Tech I

Location: Candidates must reside within 50 miles or 1-hour commute each way of the following Elevance Health location: FL-Altamonte Springs, 370-774 Northlake Blvd. Opportunity to work hybrid after 90 days (in office 2 days per week, remote 3 days).

Schedule: Must be willing to work any of the following 8-hour shift:

10am to 7pm; 11am to 8am; 12pm to 9pm; or 1pm to 10pm.

May be required to work weekends or holidays, depending on company needs.

Build the Possibilities. Make an Extraordinary Impact. 

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

Primary duties may include, but are 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.

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.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Preferred Skills, Capabilities and Experiences: 

  • Knowledge of EnterpriseRX Pharmacy Management Software preferred.

Job Level:

Non-Management Non-Exempt

Workshift:

3rd Shift (United States of America)

Job Family:

MED > Licensed/Certified Allied Health Professional

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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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 elevancehealthjobssupport@elevancehealth.com for 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.

Elevance Health Glassdoor Company Review
3.6 Glassdoor star iconGlassdoor star iconGlassdoor star icon Glassdoor star icon Glassdoor star icon
Elevance Health DE&I Review
4.0 Glassdoor star iconGlassdoor star iconGlassdoor star iconGlassdoor star icon Glassdoor star icon
CEO of Elevance Health
Elevance Health CEO photo
Gail K. Boudreaux
Approve of CEO

Average salary estimate

$50000 / YEARLY (est.)
min
max
$40000K
$60000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Pharmacy Tech I (US), Elevance Health

Join us at Elevance Health as a Pharmacy Tech I and become part of an extraordinary team! At BioPlus Specialty Pharmacy now operated under CarelonRx (formerly IngenioRx), we’re dedicated to offering a remarkable experience in the healthcare specialty field. In this role, you will be pivotal in interpreting and data entry for basic prescriptions and furthering our mission of whole health. You’ll work closely with pharmacists and assist in educating members about pharmacy-related rules, medication resources, and assistance programs. From processing prior authorization requests to resolving grievances and ensuring compliance with Medicare requirements, the responsibilities are dynamic and impactful. Plus, you’ll generate insightful reports and maintain meticulous records. With a hybrid work opportunity after 90 days, you can enjoy a balanced work-life while being part of a Fortune 25 company that values growth, diversity, and professional development. To qualify, you should have a high school diploma or equivalent, at least one year of pharmacy experience, and be certified as a Pharmacy Tech in your state. If you’re passionate about advancing healthcare access while making a difference in people’s lives, apply today!

Frequently Asked Questions (FAQs) for Pharmacy Tech I (US) Role at Elevance Health
What qualifications are needed for the Pharmacy Tech I position at Elevance Health?

To become a Pharmacy Tech I at Elevance Health, you need a high school diploma or equivalent, along with a minimum of one year of pharmacy experience. Alternatively, any combination of education and experience that equates to this background will be considered. It's also crucial to hold a current State Pharmacy Tech Certification or a National Certification depending on your state. This role values strong communication, problem-solving, and analytical skills, which are vital for success.

Join Rise to see the full answer
What are the primary responsibilities of a Pharmacy Tech I at Elevance Health?

As a Pharmacy Tech I at Elevance Health, your main responsibilities include interpreting and entering prescriptions, processing prior authorization requests, and educating members about pharmacy rules and resources. You'll also troubleshoot any issues related to prescription benefits, assist in resolving grievances, and manage reports related to pharmacy operations. Each day brings new challenges and opportunities to make a positive impact on our members' health journeys.

Join Rise to see the full answer
What is the work environment like for Pharmacy Tech I at Elevance Health?

At Elevance Health, the work environment for Pharmacy Tech I is collaborative and supportive. After an initial period, you can transition to a hybrid model, allowing you to work in-office two days a week and remotely three days. This flexibility enables a better work-life balance while continuing to engage meaningfully with your team. Our culture promotes professional growth and a commitment to exemplary healthcare service.

Join Rise to see the full answer
Does Elevance Health offer training for Pharmacy Tech I positions?

Yes, Elevance Health invests in the development of its Pharmacy Tech I associates by providing comprehensive training. You'll gain knowledge about our systems, prescription processing, and Medicare requirements to ensure you're well-prepared to support our members effectively. Continuous learning is encouraged to help you grow within your career.

Join Rise to see the full answer
Are there opportunities for career advancement as a Pharmacy Tech I at Elevance Health?

Absolutely! Elevance Health values career advancement for its associates. As a Pharmacy Tech I, you’ll have access to various development programs and pathways that can lead to more advanced pharmacy roles or other opportunities within the company. With a strong emphasis on personal and professional growth, your career can flourish here.

Join Rise to see the full answer
Common Interview Questions for Pharmacy Tech I (US)
How do you handle a difficult customer or member interaction as a Pharmacy Tech I?

When facing a difficult customer interaction, the best approach is to remain calm and empathetic. Start by listening to their concerns fully without interrupting. Acknowledge their feelings and try to clarify the issue. It's essential to provide accurate information and solutions while keeping communication polite and supportive, showing that you're committed to resolving their concerns.

Join Rise to see the full answer
Can you explain your process for managing prescription data entry?

Managing prescription data entry effectively requires attention to detail and accuracy. I begin by verifying all member information and prescriptions and then double-checking my entries against the original prescription for any discrepancies. If an issue arises, I communicate promptly with pharmacists or prescribers to ensure clarity and compliance.

Join Rise to see the full answer
What experience do you have with prior authorization processing?

My experience with prior authorization processing involves understanding the necessary documents and requirements outlined by insurance providers. I ensure that I gather all relevant information from physicians' offices and submit it according to set guidelines. Having strong organizational skills helps me track submission statuses and follow up appropriately.

Join Rise to see the full answer
Describe a time when you had to learn a new software or system quickly.

In my previous role, I was introduced to a new pharmacy management software. I quickly adapted by dedicating time to practice using the system, attending training sessions, and reaching out to more experienced colleagues for tips. This proactive approach allowed me to gain proficiency rapidly, which improved my efficiency in data management.

Join Rise to see the full answer
How do you ensure compliance with Medicare requirements in your role?

To ensure compliance with Medicare requirements, I stay informed about the latest guidelines and updates. I review all authorization requests meticulously, verifying that they meet the criteria set by Medicare. Regular communication with my team and constant training helps maintain high compliance standards in our processes.

Join Rise to see the full answer
What strategies do you use to manage your time effectively during busy periods?

Time management during busy periods involves prioritizing tasks and setting clear goals for the day. I break larger tasks into smaller, manageable segments, ensuring that I complete priority items first and leverage tools like checklists and schedules to stay organized. This method allows me to maintain efficiency without sacrificing quality.

Join Rise to see the full answer
How would you educate a patient about their prescription and any related medication resources?

When educating a patient about their prescription, I focus on clear, concise communication. I explain how to take their medication, potential side effects, and the importance of adherence. I also provide information about available medication resources and assistance programs to help them access necessary treatments effectively.

Join Rise to see the full answer
What do you believe is the most important quality for a Pharmacy Tech I?

I believe the most crucial quality for a Pharmacy Tech I is exceptional communication skills. It’s essential to convey information clearly to members, collaborate effectively with pharmacists and healthcare providers, and listen attentively to patients' concerns. Strong communication fosters trust and ensures that everyone involved is on the same page regarding medication management.

Join Rise to see the full answer
How do you respond to inquiries from physicians or sales teams regarding formulary and prescription benefits?

Responding to inquiries requires a good understanding of our formulary and prescription benefits. I ensure that I have up-to-date information and resources to provide accurate responses. If I’m uncertain, I take the initiative to follow up with the relevant departments or colleagues to confirm information and communicate it promptly to the inquiring party.

Join Rise to see the full answer
Can you share an experience where you resolved a grievance or appeal issue?

I encountered a grievance where a member was unhappy about a denied claim. I approached the situation promptly by reviewing the case, speaking directly with the member to understand their perspective, and then liaising with the necessary departments to find a resolution. This direct communication led to a successful appeal and improved the member's satisfaction.

Join Rise to see the full answer

Our mission is to improve lives and communities. Simplify healthcare. Expect more.

193 jobs
MATCH
Calculating your matching score...
FUNDING
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
EMPLOYMENT TYPE
Full-time, hybrid
DATE POSTED
March 29, 2025

Subscribe to Rise newsletter

Risa star 🔮 Hi, I'm Risa! Your AI
Career Copilot
Want to see a list of jobs tailored to
you, just ask me below!