
10,000+ employees
🏥 Healthcare
⚕️ Healthcare Insurance
🤝 B2B
Healthcare • Healthcare Insurance • B2B
Elevance Health is transforming from a traditional health benefits organization into a lifetime trusted health partner, driven by a bold purpose to improve the health of humanity. With nearly 100,000 associates, they serve over 118 million people and utilize an integrated whole health approach supported by industry-leading capabilities and a digital health platform. Their mission includes redefining health, reimagining the health system, and strengthening communities.
🔥 12 hours ago
🏄 California – Remote
💵 $20 - $30 / hour
⏰ Full Time
🟢 Junior
💊 Pharmacist
🦅 H1B Visa Sponsor
👻 Ghost score 0%
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10,000+ employees
🏥 Healthcare
⚕️ Healthcare Insurance
🤝 B2B
Healthcare • Healthcare Insurance • B2B
Elevance Health is transforming from a traditional health benefits organization into a lifetime trusted health partner, driven by a bold purpose to improve the health of humanity. With nearly 100,000 associates, they serve over 118 million people and utilize an integrated whole health approach supported by industry-leading capabilities and a digital health platform. Their mission includes redefining health, reimagining the health system, and strengthening communities.
• Interpret and enter basic prescriptions • Process prior authorizations • Troubleshoot adjudication issues • Verify member information and input data for pharmacists • Educate members on pharmacy-based rules, prescription resources, and 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 physician, sales team, and member inquiries about formulary and prescription benefits • Generate rebate, physician utilization, Beers Criteria, Reliance member, and ad hoc reports • Maintain records of prior authorizations, rebates, and monthly reports
• High school diploma or equivalent • Minimum of 1 year of pharmacy experience • Current state pharmacy technician certification or national certification based on applicable state(s) • Strong oral, written, and interpersonal communication skills for URAC accredited areas • Problem-solving skills for URAC accredited areas • Facilitation skills for URAC accredited areas • Analytical skills for URAC accredited areas • Ability to work second shift • For virtual roles, residence within commuting distance from an office may be required • Ability to meet applicable state and federal requirements, including Medicare requirements • Certain patient/member-facing roles require COVID-19 and Influenza vaccination unless an acceptable explanation is provided
• Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401(k) contribution and match • Merit increases • Paid holidays • Paid Time Off • Incentive bonus programs • Medical, dental, and vision benefits • Short- and long-term disability benefits • Stock purchase plan • Life insurance • Wellness programs • Financial education resources • Virtual full-time work arrangement, except for required in-person training sessions • Flexible work-life integration • COVID-19 and Influenza vaccination support/requirement for certain patient/member-facing roles
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