Elevance Health
Elevance Health
Elevance Health is a healthcare and health insurance company building a broader, long-term approach to supporting people’s health. Its work combines health benefits, integrated whole-health services, and digital health capabilities designed to connect care and coverage more effectively. With a workforce of nearly 100,000 associates serving more than 118 million people, Elevance Health offers roles across a large, multidisciplinary organization focused on improving health outcomes, evolving the healthcare system, and supporting stronger communities.

Bilingual Pharmacy Technician II – Remote in Florida

Support CarelonRx members and healthcare professionals by processing prescriptions, handling prior authorizations, and addressing pharmacy benefits questions. Help maintain accurate records and compliance with Medicare requirements.

Description

  • Interpret and accurately enter moderately complex prescriptions
  • Process prior authorization requests
  • Investigate and resolve prescription adjudication problems
  • Confirm member details and enter information for pharmacists
  • Explain prescription requirements, medication resources, and assistance programs to members
  • Review prior authorization submissions from physician offices while meeting Medicare compliance requirements
  • Communicate prior authorization decisions to the appropriate parties
  • Address issues involving grievances and appeals
  • Answer physician, sales team, and member questions about formularies and prescription benefits
  • Prepare rebate, physician utilization, Beers Criteria, Reliance member, and ad hoc reports
  • Keep prior authorization, rebate, and monthly reporting records up to date

Requirements

  • Hold a current, active, unrestricted professional license when required by state law
  • Meet applicable state requirements for pharmacy technician or national certification
  • For the CPCC business area, hold a current pharmacy technician license and national certification
  • High school diploma or equivalent qualification
  • At least two years of pharmacy experience
  • Fluency in Spanish or another additional language is required
  • Successfully complete a validated language assessment
  • Previous call center experience is preferred
  • PTCB certification is strongly preferred
  • Demonstrate strong verbal, written, and interpersonal communication abilities
  • Apply effective problem-solving skills
  • Use facilitation skills in relevant interactions
  • Demonstrate analytical ability

Benefits

  • Merit-based pay increases
  • Paid holidays
  • Paid time off
  • Incentive bonus programs
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Short-term disability coverage
  • Long-term disability coverage
  • 401(k) plan with matching contributions
  • Employee stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
  • Full-time virtual work, apart from required in-person training sessions
  • Flexible work-life integration

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