Job Information
Elevance Health Pharmacy Technician II (Data Entry) BioPlus Specialty Pharmacy in ST LOUIS, Missouri
Be Part of an Extraordinary Team
BioPlus Specialty Pharmacy is now part of CarelonRx, and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer 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.
LOCATION : This position will work onsite at our office at 1831 Chestnut St. St. Louis, MO. You must be able to commute to this location on a daily basis.
HOURS: Monday through Friday; you will be assigned one of the following:
8:30AM – 5PM
9:30AM- 6PM
10:30AM- 7PM
The Pharmacy Tech ll ( Data Entry) is responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues.
How You Will Make an Impact
Primary duties may include, but are not limited to:
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.
Generates reports relating to rebates, physician utilization, Beers Criteria, Reliance members, and other ad hoc reports.
Maintains record keeping of prior authorizations, rebates, and monthly reports.
Minimum Requirements:
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.
Preferred Skills, Capabilities and Experiences
Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Specialty Pharmacy Experience
Proficient in Microsoft Office
EnterpriseRX experience