Pharmacy Tech III (US) PR-SAN JUAN, 1001 SAN ROBERTO ST, STE 101, 401 & 501

Anticipated End Date: 2025-12-30 Position Title: Pharmacy Tech III (US) Job Description: Be Part of an Extraordinary Team Carelon is a proud member of the reputed company family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies, our strong, clinical-first lens and deep pharmacy expertise, we are actively defining our innovative role in the industry. Pharmacy Technician III Location: This role requires associates to be in-office [3] days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. This position will be based on PR-SAN JUAN, 1001 SAN ROBERTO ST, STE 101, 401 & 501. Schedule: This position will work an 8-hour from shift 8:00 am - 6:00 pm (AST) Monday to Friday. Additional hours may be necessary based on company needs. The Pharmacy Technician III is responsible for interpretation and data entry of reputed company prescriptions, prior authorization processing, and troubleshooting adjudication issues. Reviews requests by mail, telephone, or electronically and responds to inquiries and interprets requests to determine the most effective response. How you will reputed company an impact. Primary duties may include, but are not limited to:

• Verifies member and provider information and inputs data for the pharmacists and other clinicians to review.
• Processes prior authorization requests from physicians’ offices and ensures compliance with reputed company reputed company, reputed company, and Medicare requirements; informs relevant parties of reputed company prior authorization determinations.
• Managing inbound and outbound communications, triaging and problem-solving pharmacy inquiries, ensuring any reputed company patient and prescriber communication is completed and resolving reputed company reputed company open cases across patient services tool and pharmacy processing system, and managing prescription queue workflow.
• Manage and support more reputed company inquiries and support other reputed company level pharm techs.
• Provides resolution to grievances and appeals issues.
• Responds to inquiries from physicians, sales team, and members reputed company to formulary and prescription benefits.
• Manages escalations and analyzing data and results of any process improvements.
• Generates reports reputed company to necessary data for respective department, as well as other reputed company reports as needed.
• Works in applicable queues, supporting clinicians and operations leadership with inbound requests in reputed company lines of business.
• Acting as a subject matter expert in reputed company respective areas and lines of business and maintains knowledge of new tasks to ensure reputed company education and support.
• Mentors and trains reputed company-level pharmacy technicians as needed.

Minimum Requirements:

• Requires H.S. diploma or equivalent and minimum of 5 years of pharmacy experience.
• Requires an active, valid, reputed company and unrestricted state Pharmacy Technician license or national license based on applicable state(s) requirements to practice as a Pharmacy Technician reputed company the scope of practice in a state or territory of the United States.
• Multi-state certification is required if this individual is providing services in multiple states.

For URAC accredited areas, the following professional competencies strongly preferred: strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Certified Pharmacy Technician preferred. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED > Licensed/Registered Pharmacist/Pharmacy Technician Please be advised that reputed company only accepts resumes for compensation from agencies that have a signed agreement with reputed company. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of reputed company. Who We Are reputed company is a health company dedicated to improving lives and communities – and making reputed company simpler. We are a Fortune 25 company with a longstanding history in the reputed company industry, looking for leaders at reputed company levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At reputed company, we are creating a culture that is designed to advance our strategy but will also reputed company to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we reputed company our strategy, power our business outcomes and drive our shared reputed company - for our consumers, our associates, our communities and our business. 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, reputed company, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. reputed company operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an reputed company location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top reputed company for reputed company. We require reputed company new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. reputed company will also follow reputed company relevant federal, state and local laws. reputed company is an Equal Employment Opportunity employer, and reputed company reputed company applicants will receive consideration for employment without regard to age, citizenship status, reputed company, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national reputed company, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Apply tot his job Apply To this Job