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Pharmacy Technician I - Miami, FL (PS14573) in Miami, FL at Anthem, Inc.

Date Posted: 12/5/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At Simply Healthcare, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. We are a Florida licensed health maintenance organization that serves individuals enrolled in Medicaid and/or Medicare programs, 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.
 
 
Location: Miami, FL
 
 
Pharmacy Technician I
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.
  • Requires High School diploma and up to 1 year of pharmacy experience, or any combination of education and experience, which would provide an equivalent background.
  • State Tech-in-Training certificate may be required in applicable state.
  • Must obtain State Pharmacy Tech certification within 1 year.
  • Basic computer and written, oral and interpersonal communications skills required.
  • Certified Pharmacy Technician (CPhT) strongly preferred.
  • Health insurance and/or managed care experience preferred.
 
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