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Pharmacy Technician II – Clinical Pharmacy Care Center
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 authorization requests, and ensuring compliance with Medicare requirements. Proficient in educating members about medication resources and addressing grievances while maintaining strong communication and problem-solving skills.
Highest-signal resume keywords
Pharmacy Technician CertificationPrior Authorization ProcessingPrescription InterpretationMedicare ComplianceCall Center Experience
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 ProcessingData EntryMedication AdherenceGrievance ResolutionAdjudication TroubleshootingPreventive Test SchedulingMember OutreachAnalytical SkillsFacilitation SkillsProblem-Solving Skills
Soft Skills
Interpersonal CommunicationOral CommunicationWritten Communication
Certifications & Qualifications
Active Professional LicenseState Pharmacy Technician CertificationNational Certification
Industry Keywords
MedicareMedicaidCommercial Member PopulationsFormularyPrescription Benefits
About the role
Key responsibilities & impact- Interpret and enter moderately complex prescriptions
- Process prior authorization requests from physicians' offices and ensure compliance with Medicare requirements
- Inform relevant parties of prior authorization determinations
- Troubleshoot adjudication issues
- Provide resolution to grievances and appeals issues
- Respond to inquiries from physicians, sales team, and members regarding formulary and prescription benefits
- Educate members about prescriptions, medication resources, assistance programs, and medication adherence topics
- Assist members with scheduling preventive tests and screenings
- Conduct outreach to members or providers to close care gaps and improve outcomes
- Verify member information and input data for pharmacists
- Service Medicare, Medicaid, and Commercial member populations
Requirements
What you’ll need- Active professional license, if required by state law
- State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements
- Ability to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States
- H.S. diploma or equivalent
- Minimum of 2 years of pharmacy experience
- Alternatively, any combination of education and experience providing an equivalent background
- Call center experience preferred
- Strong oral, written, and interpersonal communication skills
- Problem-solving skills
- Facilitation skills
- Analytical skills
- Ability to work Monday-Friday, 12:00pm–8:30pm EST
- COVID-19 and Influenza vaccination may be required for certain patient/member-facing roles unless an acceptable explanation is provided
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) + 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 and autonomy