Anthem, Inc. Pharmacy Tech I in Atlanta, Georgia
SHIFT: Day Job
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 I
Locations: GA, NC or OH
*This is person is required to report daily to our Anthem office location in preferred state mentioned
Summary: 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.
This is a call center environment
High School diploma required
At least 1 year of pharmacy experience required or any combination of education and experience, which would provide an equivalent background
State Tech-in-Training certificate may be required in applicable state(s)
Must obtain State Pharmacy Tech certification within 1 year
Retail pharmacy experience is required
Basic computer and written, oral and interpersonal communications skills required
Call center experience preferred
Shift is M-F any shift from 8:30am-8:30pm EST and Saturdays possible at any shift from 9am-4:30 pm EST
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.