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Pharmacy Tech I

Anticipated End Date:

2025-04-07

Position Title:

Pharmacy Tech I

Job Description:

Pharmacy Technician I

Shift: Varied Schedule

This position will work virtually and come into office on an as need basis. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations listed on the posting.

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.

Preferred Capabilities, Skills, and Experiences:

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

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $17.77/hour to $26.65/hour.

Locations: Nevada

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level:

Non-Management Non-Exempt

Workshift:

1st 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.

Average salary estimate

$46266 / YEARLY (est.)
min
max
$37040K
$55492K

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, elevancehealth

Are you ready to kickstart your pharmacy career with Elevance Health? As a Pharmacy Tech I, you'll be making a difference right from the comfort of your own home, with occasional visits to our local office in St. Louis. Elevance Health, a Fortune 25 company, is dedicated to simplifying healthcare and improving lives. In this role, you will dive into the world of pharmacy by gearing up to process prescriptions, handle prior authorizations, and assist members with their pharmacy-related inquiries. You'll be the all-important bridge between pharmacists and patients, ensuring everyone has access to the right information and resources they need. Your awesome communication skills will shine as you educate members about medication-related rules and assist them with formulating their medication resources. Plus, your attention to detail will come in handy as you maintain accurate records and generate vital reports. Not only will you enjoy a comprehensive benefits package and numerous growth opportunities, but Elevance Health also promotes a supportive environment designed to help you thrive both personally and professionally. All you need is a high school diploma, a valid pharmacy tech certification, and at least a year of experience in pharmacy or a related field. If you're located within 50 miles of our St. Louis office, we can't wait for you to become part of our dynamic team and help us transform pharmacy care!

Frequently Asked Questions (FAQs) for Pharmacy Tech I Role at elevancehealth
What are the primary responsibilities of a Pharmacy Tech I at Elevance Health?

As a Pharmacy Tech I at Elevance Health, your main responsibilities will include interpreting and entering prescriptions, processing prior authorizations, educating members about pharmacy rules, and troubleshooting any issues that arise with adjudication. You'll also handle inquiries from healthcare providers and generate important reports regarding medication benefits and utilization.

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What qualifications do I need to apply for the Pharmacy Tech I position at Elevance Health?

To apply for the Pharmacy Tech I position at Elevance Health, you will need a high school diploma or equivalent, a current State Pharmacy Tech Certification or National Certification applicable to your state, and at least one year of pharmacy experience. Experience in call centers, prior authorizations, or patient care is preferred.

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What is the work schedule for the Pharmacy Tech I role at Elevance Health?

The Pharmacy Tech I position at Elevance Health typically features a varied schedule, primarily allowing for virtual work with occasional in-person days at the St. Louis office. Flexibility is key as you'll accommodate the needs of the team and the members.

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Are there growth opportunities for Pharmacy Tech I employees at Elevance Health?

Absolutely! Elevance Health is dedicated to the personal and professional growth of its associates. As a Pharmacy Tech I, you can expect to gain valuable experience and knowledge that can lead to advancement opportunities within the company. Elevance Health promotes a culture of internal mobility and continuous development.

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What benefits can I expect as a Pharmacy Tech I at Elevance Health?

As a Pharmacy Tech I at Elevance Health, you will enjoy a robust benefits package that includes health insurance, 401(k) matching, paid time off, wellness programs, and financial education resources, among others. Elevance Health values its employees and aims to provide the necessary tools for a healthy work-life balance.

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Common Interview Questions for Pharmacy Tech I
Can you describe your experience with processing prescriptions?

In answering this question, highlight specific instances from your past roles where you successfully interpreted and entered prescription data, dealt with medication orders, or coordinated with pharmacists to ensure accuracy in medication dispensing.

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How do you handle a difficult customer or member inquiry?

Discuss your approach to resolving conflicts and providing support. Emphasize your communication skills and how you listen actively to understand the issue fully before providing a resolution based on pharmacy rules or services.

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What steps do you take to ensure compliance with pharmacy regulations?

Mention your familiarity with pharmacy laws based on your education and experience, and provide examples of how you maintain accurate records, manage prior authorizations, and stay updated on compliance regulations.

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How do you prioritize tasks when faced with high call volumes?

It's important to discuss your multitasking abilities, utilizing tools like prioritization techniques, time management strategies, and your ability to remain organized under stress to ensure timely responses to all inquiries.

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Can you explain what prior authorization is and why it's important?

Provide a brief overview of prior authorization processes, explaining its purpose in ensuring that medications are necessary and covered by insurance, which helps manage costs and improve patient care.

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What do you believe is the key to providing excellent patient care?

Focus on the importance of empathy, effective communication, and the ability to provide accurate information and resources that support the member’s health journey.

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How would you ensure confidentiality when dealing with member information?

Explain your understanding of HIPAA regulations and how you would incorporate privacy measures into your daily operations, ensuring that sensitive information remains secure.

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What experience do you have with pharmacy software systems?

Describe the pharmacy software systems you've used in the past, focusing on how these experiences have prepared you for data entry and prescription processing as a Pharmacy Tech I.

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Can you give an example of how you educated a member on medication usage?

Share a specific example of a time when you took the initiative to educate a patient, addressing their concerns, explaining dosage instructions, or sharing resources that aided their understanding of their medication.

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How do you stay current with pharmacy industry changes?

Discuss your dedication to professional development, including attending workshops, reading industry publications, or being involved in relevant professional associations to ensure you remain informed about pharmacy practices.

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EMPLOYMENT TYPE
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DATE POSTED
April 3, 2025

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