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Pharmacy Technician I or II - Virginia Beach,VA / Mason,OH / St. Louis, MO / Savannah, GA / Grand Prairie, TX (PS16275)

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Medical
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PS16275 Requisition #
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The Pharmacy Tech 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.
  • Processes prior authorization requests from physicians’ offices and ensures compliance with all Medicare, regulatory and accreditation 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.  
  • Enters and maintains accurate prior authorization records  
  • Document accurate outreach to members and providers
  • Manage incoming calls, faxes and ePAs related to pharmacy prior authorizations.
  • Refers cases requiring clinical review to a Pharmacist or Medical Director.
  • Responsible for the identification and data entry of pharmacy prior authorization requests.
  • Conducts clinical screening process.
  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. 


The Pharmacy Tech II is responsible for educating members on medication as related to prescriptions; advising members of available resources and assistance programs; interpreting moderately complex prescriptions. 


Primary duties may include, but are not limited to:

  • Processes prior authorization requests from physicians’ offices and ensures compliance with all Medicare, regulatory and accreditation requirements; informs relevant parties of all prior authorization determinations.
  • Reviews member prescriptions in claims history.
  • Document accurate outreach to members and providers
  • Verifies member information and inputs data for the pharmacists.
  • Provides resolution to grievances and appeals issues.
  • Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
  • Enters and maintains accurate prior authorization records
  • Manage incoming calls, faxes and ePAs related to pharmacy prior authorizations.
  • Refers cases requiring clinical review to a Pharmacist or Medical Director.
  • Responsible for the identification and data entry of pharmacy prior authorization requests.
  • Conducts clinical screening process.
  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

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 Technician License and National Certification required. 
  • This position requires that you be available to work an 8 hour shift between 7am-9pm CST including weekends and holidays. It may also require mandatory over time at times.
  • This position requires you to be willing and able to work and commute daily to one of the following office locations: Virginia Beach, VA, Mason, OH, Grand Prairie, TX, Savannah, GA or St. Louis, MO.
  • Prior call center experience strongly preferred. 
  • Medical terminology training, pharmaceutical terminology experience and/or experience in medical, insurance or pharmaceutical field are preferred. 
  • Computer skills and experience with Microsoft Office Suite strongly preferred 

Pharmacy Tech II requires a high school diploma; 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background. 
  • Current State Pharmacy Technician License and National Certification required. 
  • Prior call center experience strongly preferred.
  • Medical terminology training, pharmaceutical terminology experience and/or experience in medical, insurance or pharmaceutical field are preferred. 
  • Computer skills and experience with Microsoft Office Suite strongly preferred 
This positions requires that you be available to work an 8 hour shift between 7am-9pm CST including weekends and holidays. It may also require mandatory overtime at times.

This position requires you to be willing and able to work and commute daily to one of the following office locations: Virginia Beach, VA, Mason, OH, Grand Prairie, TX, Savannah, GA or St. Louis, MO. 

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

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