Anthem Inc. Health Insurance Jobs

Job Information

Anthem, Inc. Pharmacy Tech II in Las Vegas, Nevada

Description

SHIFT: Day Job

SCHEDULE: Full-time

Responsibilities:

Responsible for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues.

This opportunity can be based in the following locations: St. Louis, MO; Las Vegas, NV; Winston-Salem, NC; Mason, OH; Midland, GA; Atlanta, GA and Miami, FL.

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.

Qualifications

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 a high school diploma or GED and up to 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.

  • For URAC accredited areas the following applies: Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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. Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS45318

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