Pharmacy Technician I - Call Center CarelonRx
About the position
The Pharmacy Technician I at CarelonRx is responsible for supporting pharmacy operations by interpreting and entering prescription data, processing prior authorizations, and addressing adjudication issues. This role is crucial in ensuring compliance with pharmacy regulations and providing excellent service to members and healthcare providers. The position requires a combination of technical skills and customer service abilities, with opportunities for remote work after an initial training period.
Responsibilities
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.
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.
,
Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Nice-to-haves
Benefits
Comprehensive benefits package
,
Incentive and recognition programs
,
Equity stock purchase
,
401k contribution
,
Paid holidays
,
Paid Time Off
,
Medical, dental, vision benefits
,
Short and long term disability benefits
,
Life insurance
,
Wellness programs
,
Financial education resources
Apply Now
The Pharmacy Technician I at CarelonRx is responsible for supporting pharmacy operations by interpreting and entering prescription data, processing prior authorizations, and addressing adjudication issues. This role is crucial in ensuring compliance with pharmacy regulations and providing excellent service to members and healthcare providers. The position requires a combination of technical skills and customer service abilities, with opportunities for remote work after an initial training period.
Responsibilities
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.
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.
,
Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Nice-to-haves
Benefits
Comprehensive benefits package
,
Incentive and recognition programs
,
Equity stock purchase
,
401k contribution
,
Paid holidays
,
Paid Time Off
,
Medical, dental, vision benefits
,
Short and long term disability benefits
,
Life insurance
,
Wellness programs
,
Financial education resources
Apply Now