Employ Nevada STEM Jobs

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 care companies and a Fortune Top 50 Company.

Pharmacy Technician I - Ingenio Rx

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 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 Tech. Certification or National Certification based on applicable state(s) required.

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.

Qualifications

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(s). Must obtain State Pharmacy Tech certification within 1 year. Basic computer and written, oral and interpersonal communications skills required. REQNUMBER: PS44718-Las%20Vegas-Las%20Vegas