Anthem Pharmacy Tech I - Woodland Hills, CA, St. Louis, MO, Indianapolis, IN or Richmond, VA (129269) in Andover, Massachusetts

Anthem, Inc. is one of the nation's leading health benefits companies and a Fortune Top 50 company. At Anthem, Inc., we are working together to transform health care with trusted and caring solutions.

Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people’s lives, and to take your career further than you can imagine.

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

Hours - 1:30PM - 10:00PM (EST)

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.

    The Pharmacy Technicians employs intellectual, interpersonal and technical skills through the utilization of the pharmacy process to assist members in achieving and maintaining maximum health potential.

    Qualifications

  • Pharmacy Tech I requires a high school diploma; 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.

  • Must live within 1 hour of any of the following locations: Woodland Hills, CA; St. Louis, MO, Indianapolis, IN or Richmond, VA

    Bilingual (English/Spanish) preferred

Job Medical

Title: Pharmacy Tech I - Woodland Hills, CA, St. Louis, MO, Indianapolis, IN or Richmond, VA (129269)

Location: MA-Andover

Requisition ID: 129269