Elevance Health logo
Elevance Health

Elevance Health is fueled by a purpose to strengthen the health of humanity by redefining health, reimagining the health system, and improving communities. Reco

Pharmacy Technician II - CarelonRx Call Center

Customer SupportCustomer SupportFull TimeRemoteTeam 10,001Company Site

Location

United States

Posted

8 days ago

Salary

Not specified

Prescription InterpretationData EntryPrior Authorization ProcessingAdjudication TroubleshootingMedication Adherence EducationStars Ratings KnowledgeHEDIS Quality Measures KnowledgeCall Center OperationsPatient OutreachPharmacy Technician CertificationState Pharmacy LicensureMedicare Member CommunicationComputer Systems ProficiencyMultitasking

Job Description

Anticipated End Date:

2026-03-14

Position Title:

Pharmacy Technician II - CarelonRx Call Center

Job Description:

Pharmacy Technician II - CarelonRx Call Center

Hours:  12 pm - 8:30 pm EST

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

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.

CarelonRx Pharmacy is a proud member of the ElevanceHealth family of companies providing a digital-first pharmacy solution with simple, affordable and personalized pharmacy care with convenient delivery to customers. We focus on whole person care, providing the best member experience and overall health outcomes by putting the patient first.

The Clinical Pharmacy Care Center (CPCC) is a clinical pharmacy call center that services Medicare, Medicaid, and the Commercial member populations. The members we reach out to have been identified as having gaps in care. Our goal is to close those gaps through education and assistance.

The Pharmacy Technician II 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:

  • Verifies member information and inputs data for the pharmacists.

  • Educates members about prescriptions and medication resources or assistance programs.

  • Educates members on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures.

  • Assists members with scheduling their preventive test/screenings and medication resources or assistance programs.

  • Makes outreach to members or providers to close care gaps and improve outcomes.

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:

  • PTCB or exCPhT certification preferred.

  • Experience communicating with and supporting Medicare members preferred.

  • Call center experience with high call volumes preferred.

  • Experience in discussing medication adherence preferred.

  • Proficient in computer systems and multitasking preferred.

  • Patient care experience preferred.

Job Level:

Non-Management Non-Exempt

Workshift:

1st Shift (United States of America)

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.

Who We Are

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 communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Related Job Pages

More Customer Support Jobs

Fiserv logo

Remote Customer Service Associate

Fiserv

We aspire to move money and information in a way that moves the world.

Customer Support8 days ago
Full TimeRemoteTeam 10,001+Since 1984H1B Sponsor

The associate will receive inbound calls from clients including bank partners, merchants, and cardholders, efficiently resolving their issues to ensure client satisfaction. This involves actively listening, communicating effectively, and navigating multiple systems to research and resolve electronic transaction inquiries.

United States
Terex Corporation logo

Product Support Specialist

Terex Corporation

--- Integrity • Respect • Improvement • Servant Leadership • Courage • Citizenship ---- Our Terex Way Values

Customer Support8 days ago
Full TimeRemoteTeam 5,001-10,000Since 1933H1B Sponsor

Product Support Specialist providing technical advice for Genie products in South Texas

Texas
$80K - $95K / year
CVS Health logo

Care Management Associate

CVS Health

Bringing our heart to every moment of your health.

Customer Support8 days ago
Full TimeRemoteTeam 10,001+Since 1963H1B No Sponsor

The Engagement Specialist is responsible for telephonic outreach to and enrollment of eligible members, acting as a blend of salesperson, healthcare navigator, and customer support representative. This role involves direct member engagement, facilitating case assignment, and immediately connecting identified members to care managers via a warm transfer.

United States
$19 - $39 / hour
Paradigm logo

Senior Intake Coordinator

Paradigm

Paradigm is a crypto-focused investment firm based in San Francisco.

Customer Support8 days ago
Full TimeRemoteTeam 1-10Since 2018H1B Sponsor

The Senior Intake Coordinator primarily receives and answers professional phone calls to process Durable Medical Equipment (DME) and Home Health (HH) referrals, ensuring accurate creation and timely communication with internal teams. Responsibilities also include maintaining essential contact information, processing billing, managing document files, and assisting with proprietary software implementation.

Customer ServiceMedical TerminologyMicrosoft ExcelMicrosoft WordMicrosoft OutlookMicrosoft TeamsData EntryHIPAA ComplianceWorkers’ Compensation
United States
$19 - $21 / hour