
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.
🔥 48 minutes ago
🐊 Florida, Ohio, +1 more states – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
💊 Pharmacist
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor
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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 authorization requests from physicians' offices and ensure compliance with Medicare requirements • Inform relevant parties of prior authorization determinations • Troubleshoot adjudication issues • Provide resolution to grievances and appeals issues • Respond to inquiries from physicians, sales team, and members regarding formulary and prescription benefits • Educate members about prescriptions, medication resources, assistance programs, and medication adherence topics • Assist members with scheduling preventive tests and screenings • Conduct outreach to members or providers to close care gaps and improve outcomes • Verify member information and input data for pharmacists • Service Medicare, Medicaid, and Commercial member populations
• Active professional license, if required by state law • State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements • Ability to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States • H.S. diploma or equivalent • Minimum of 2 years of pharmacy experience • Alternatively, any combination of education and experience providing an equivalent background • Call center experience preferred • Strong oral, written, and interpersonal communication skills • Problem-solving skills • Facilitation skills • Analytical skills • Ability to work Monday-Friday, 12:00pm–8:30pm EST • COVID-19 and Influenza vaccination may be required for certain patient/member-facing roles unless an acceptable explanation is provided
• 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 and autonomy
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