Pharmacy Technician II – CarelonRx Call Center

Elevance Health

. Interpret and enter moderately complex prescriptions .

Posted 9/24/2026full-timeUnited StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in processing prior authorizations, interpreting prescriptions, and ensuring compliance with Medicare and Medicaid requirements. Proficient in communication and problem-solving within pharmacy operations, particularly in patient care and support for Medicare members.

Highest-signal resume keywords

Pharmacy Technician CertificationPrior Authorization ProcessingMedicare CompliancePatient Care ExperienceCall Center Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prescription InterpretationData EntryAdjudication TroubleshootingReport GenerationMedication Adherence Discussion

Soft Skills

Strong Communication SkillsProblem-Solving SkillsFacilitation SkillsAnalytical Skills

Tools & Technologies

Computer Systems

Certifications & Qualifications

State Pharmacy Technician CertificationNational CertificationCurrent Pharmacy Tech License

Industry Keywords

MedicareMedicaidClinical Pharmacy Care CenterFormulary BenefitsRebates

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-based rules related to prescriptions and medication resources or assistance programs
Process prior authorization requests from physicians' 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 relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports
Maintain records of prior authorizations, rebates, and monthly reports
Support Medicare, Medicaid, and Commercial member populations through the Clinical Pharmacy Care Center

Requirements

What you’ll need

H.S. diploma or equivalent
Minimum of 2 years of pharmacy experience
Active, professional license, if required by state law
State Pharmacy Technician Certification based on applicable state requirements
National Certification based on applicable state requirements
Ability to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States
Current Pharmacy Tech license and certification required for the CPCC business area
Experience communicating with and supporting Medicare members preferred
Call center experience with high call volumes preferred
Experience discussing medication adherence preferred
Proficiency in computer systems and multitasking preferred
Patient care experience preferred
Strong oral, written, and interpersonal communication skills
Problem-solving skills
Facilitation skills
Analytical skills
Ability to work within a reasonable commuting distance from a posting location, unless an accommodation is granted as required by law
Candidates in patient/member-facing roles may be required to become vaccinated against COVID-19 and Influenza

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, with required in-person training sessions
Maximum flexibility and autonomy
Work-life integration
Professional and personal growth opportunities