
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.
🔥 5 minutes ago
🐊 Florida – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
💬 Bilingual
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor
👻 Ghost score 10%
🗣️🇪🇸 Spanish Required
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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 moderately complex prescriptions • Process prior authorizations • Troubleshoot adjudication issues • Verify member information and input data for pharmacists • Educate members on prescription rules and medication resources or assistance programs • Process prior authorization requests from physician offices and ensure Medicare compliance • 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
• Current active, valid unrestricted professional license, if required by state law • State Pharmacy Technician Certification or National Certification based on applicable state requirements • For the CPCC business area, current Pharmacy Tech license and National Certification required • High school diploma or equivalent • Minimum of 2 years of pharmacy experience • Bilingual (Spanish) or multi-language skills required • Must pass a validated language test/assessment • Call center experience preferred • PTCB Certification strongly preferred • Strong oral, written, and interpersonal communication skills • Problem-solving skills • Facilitation skills • Analytical skills
• 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
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