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Pharmacy Technician I (Doral, FL) (PS26816) at Anthem, Inc.

Posted in Management 30+ days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Doral, Florida

Job Description:

Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 40 million medical members nationwide.

Your Talent. Our Vision. At HealthSun, a proud member of the Anthem, Inc. family of companies, 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.

The Pharmacy Technician I is responsible 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.

  • Requires a high school diploma; 1 year of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.

  • A current, unrestricted state of Florida Pharmacy Technician License required

  • National Certification through PTCB preferred (if not currently nationally certified, national certification will be required within the first year of hire)

  • Basic computer and written, oral and interpersonal communications skills required

  • Bilingual English/Spanish strongly preferred

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 An Equal Opportunity Employer/Disability/Veteran.