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Description SHIFT: Day JobSCHEDULE: Full-timeYour Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.Bilingual English/Spanish Pharmacy Tech I-remote (work from home,) 12 pm-8:30 pm, Monday through FridayResponsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues. Primary duties may include, but 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
This is a call center environment
Qualifications Requires:
High school diploma
Bilingual English/Spanish REQUIRED
1 year of pharmacy experience
or any combination of education and experience, which would provide an equivalent background
Current State Pharmacy Technician certification for the state in which you live required OR
State Tech-in-Training certificate required (for state in which you live)
Must be willing to become nationally certified through the PTCB within 6 months of hire
Retail pharmacy experience preferred
Call center experience preferred
Basic computer skills required
Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
Shift is 12-8:30, Monday through Friday. New hires may add their names to a wait list for other shifts as they become available.Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.REQNUMBER: PS36610
Vacancy expired!