Pharmacy Technician II – Data Entry- BioPlus Specialty Pharmacy

Title : Pharmacy Technician II – Data Entry- BioPlus Specialty Pharmacy Schedule : Monday - Friday or Sunday- Thursday Shifts: We will be hiring for multiple shifts to include: 8:00AM EST – 4:30PM EST 9:00AM EST – 5:30PM EST 10:00AM EST – 6:30PM EST 11:00AM EST – 7:30PM EST 12:30PM EST – 9:00PM EST (Fully Virtual) Hybrid : This role requires associates to be in-office 1 - 2 days per week , fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offers 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. The Pharmacy Technician II is responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization knowledge, and troubleshooting adjudication issues. How you will make an impact: 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.

Requires H.S. diploma or equivalent and minimum of 2 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background. 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. For the CPCC business area a current Pharmacy Tech license and certification is required. Preferred Skills, Capabilities and Experiences: Specialty Pharmacy experience is strongly preferred. Prior experience working in a call center environment preferred. REMS & Oncology experience highly preferred. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED > Licensed/Registered Pharmacist/Pharmacy Technician Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the