
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.
🔥 4 minutes ago
🐊 Florida, Kentucky, +5 more states – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
💊 Pharmacist
🦅 H1B Visa Sponsor
👻 Ghost score 10%
Where this job comes from
Posted on Elevance Health's careers page, not through a job board
First seen by Remote Rocketship 4 minutes ago

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 pharmacy-based prescription rules, medication resources, and assistance programs • Process prior authorization requests from physician offices and ensure compliance with Medicare requirements • Inform relevant parties of prior authorization determinations • Resolve grievances and appeals issues • Respond to inquiries from physicians, sales teams, and members about formulary and prescription benefits • Generate reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports • Maintain records of prior authorizations, rebates, and monthly reports
• 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 • Requires H.S. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background • For the CPCC business area a current Pharmacy Tech license and certification is required • Experience communicating with and supporting Medicare members preferred • Call center experience with high call volumes preferred • Experience in discussing medication adherence preferred • Proficient in computer systems and multitasking preferred • Patient care experience preferred • Strong oral, written and interpersonal communication skills • Problem-solving skills • Facilitation skills • Analytical skills • Candidates must reside within a reasonable commuting distance from the posting location(s), unless accommodation is granted as required by law
• 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 • COVID-19 and Influenza vaccination support/requirements for certain roles
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