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Pharmacy Technician II – Bilingual
Elevance Health. Interpret and enter moderately complex prescriptions .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in interpreting prescriptions, processing prior authorizations, and ensuring compliance with Medicare requirements. Proficient in communication and problem-solving, with a strong focus on member education and support.
Highest-signal resume keywords
Pharmacy Technician CertificationPrior Authorization ProcessingMedicare ComplianceBilingual Spanish SkillsPTCB Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prescription InterpretationData EntryAdjudication TroubleshootingReport GenerationRecord MaintenancePharmacy ExperienceAnalytical SkillsProblem-Solving Skills
Soft Skills
Interpersonal CommunicationWritten CommunicationFacilitation Skills
Certifications & Qualifications
State Pharmacy Technician CertificationNational CertificationCurrent Pharmacy Tech License
Industry Keywords
Prior AuthorizationFormulary BenefitsRebatesBeers CriteriaCOVID-19 VaccinationInfluenza Vaccination
About the role
Key responsibilities & impact- Interpret and enter moderately complex prescriptions
- Process prior authorizations
- Troubleshoot adjudication issues
- Verify member information and input data for pharmacists
- Educate members on pharmacy rules related to prescriptions and medication resources or assistance programs
- Process prior authorization requests from physician offices
- Ensure compliance with Medicare requirements
- Inform relevant parties of prior authorization determinations
- Resolve grievances and appeals issues
- Respond to inquiries from physicians, sales teams, and members about formulary and prescription benefits
- Generate reports on rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc topics
- Maintain records of prior authorizations, rebates, and monthly reports
Requirements
What you’ll need- Current active, valid unrestricted professional license, if required by state law
- State Pharmacy Technician Certification or National Certification based on applicable state or territory requirements
- Current Pharmacy Tech license and National Certification required for the CPCC business area
- High school diploma or equivalent
- Minimum of 2 years of pharmacy experience
- Or any combination of education and experience providing an equivalent background
- Bilingual Spanish or multi-language skills required
- Must pass a validated language test/assessment
- Call center experience preferred
- PTCB Certification strongly preferred
- Strong oral, written, and interpersonal communication skills
- Problem-solving skills
- Facilitation skills
- Analytical skills
- Ability to work an 8-hour shift from 12:00 pm to 8:30 pm EST, Monday through Friday
- Additional hours, weekends, or holidays may be required based on operational needs
- Candidates must reside within a reasonable commuting distance of a posting location unless an accommodation is granted
- Certain patient/member-facing roles require COVID-19 and Influenza vaccination
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) with company match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Virtual full-time work, except for required in-person training sessions
- Flexible work-life integration
- Professional and personal growth opportunities