Pharmacy Technician II – Data Entry- BioPlus Specialty Pharmacy at Elevance Health in FL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000

Job description

• Title: Pharmacy Technician II – Data Entry- BioPlus Specialty Pharmacy
• Location: 3200 Lake Emma Rd. STE 1000, Lake Mary, FL 32746
• Schedule: Monday - Friday or Sunday - Thursday
• Shifts: Ideal candidates will be scheduled a shift between the hours of 10:00AM EST – 9:00PM EST
• Hybrid : This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.
• Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
• BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offers consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey.
• The Pharmacy Technician II is responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization knowledge, and troubleshooting adjudication issues.

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.
• Maintains record keeping of prior authorizations, rebates, and monthly reports.

Requirements

• Requires H.S. diploma or equivalent and minimum of 2 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
• Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States.
• For the CPCC business area a current Pharmacy Tech license and certification is required.
• Specialty Pharmacy experience is strongly preferred.
• Prior experience working in a call center environment preferred.
• REMS & Oncology experience highly preferred.

Skills

Required

• Data entry
• Prior authorization processing
• Knowledge of Medicare requirements
• Troubleshooting adjudication issues

Preferred

• Specialty Pharmacy experience
• Call center experience
• REMS experience
• Oncology experience

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.