Pharmacy Technician II - CarelonRx

Anticipated End Date: 2026-08-11 Position Title: Pharmacy Technician II - CarelonRx Job Description: Pharmacy Technician II - CarelonRx Virtual : This role enables associates to work   virtually full-time , except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.   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. Schedule: Monday-Friday, 12:00pm-8:30pm Eastern Standard Time CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health. The Pharmacy Technician II - CarelonRx is responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. How you will make an impact: Verifies member information and inputs data for the pharmacists. 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. Educates members about prescriptions and medication resources or assistance programs, and on on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures.  Assists members with scheduling their preventive test/screenings and medication resources or assistance programs.  Makes outreach to members or providers to close care gaps and improve outcomes.

Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification 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. Requires H.S. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences :    Call center experience. 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. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED > Licensed/Registered Pharmacist/Pharmacy Technician 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.

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