Experience Inc. Jobs

Pharmacy Technician - CarelonRx Mail- Order Operations

Location : This position will work remotely to begin and may work a hybrid work model in the future. Ideal candidates must reside within 50 miles of Chandler, AZ.

CarelonRx Pharmacy is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies. The CarelonRx Home Delivery Pharmacy will deliver a digital-first pharmacy experience that is convenient, simpler to use, and more affordable for our patients and payors. Our Pharmacy model focuses on whole-person care, providing the best member experience to drive adherence, affordability, and improved overall health outcomes by putting the patient first.

The Pharmacy Technician is responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.

How you will make an impact:

• Verify member information and input 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 H.S. diploma or equivalent and minimum of 1 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.

• Current State Pharmacy Tech. Certification or National Certification based on applicable state(s) required.

Preferred Skills, Capabilities, and Experiences:

• Experience in high volume mail order or specialty pharmacy preferred.