Anthem Inc. Health Insurance Jobs

Job Information

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

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., 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.

Pharmacy Tech II-Bilingual English/Spanish Required

Responsible for the interpretation and data entry of moderately complex 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 physician 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.

  • This is a call center environment.

* Data entry and prior authorization work may not be part of this particular role's responsibilities*

Qualifications

  • High School diploma

  • Minimum 2 years of pharmacy experience

  • or any combination of education and experience, which would provide an equivalent background

  • Requires current unrestricted Pharmacy Technician License in state of practice AND national certification issued by PTCB

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

  • Retail pharmacy experience required

  • Bilingual English/Spanish is required

  • Call Center experience strongly preferred

  • Shift is 12 pm-8:30 pm Monday-Friday

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.

REQNUMBER: PS40540

DirectEmployers