Pharmacy Technician I-Bilingual (Spanish & English)

Location: Miami, Florida. This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health.

Schedule: This role would be rotating an 8 hour shift within the operational hours from 8:00 am - 8:00 pm EST Monday thru Friday.

The Pharmacy Technician I-Bilingual will be responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues.

How you will make an impact:

• 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.

Minimum Requirements: 

• Requires H.S. diploma or equivalent and minimum of 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.

• Bilingual (Spanish) or multi-language skills required.

• Must be able to pass a validated language test/assessment.

Preferred Skills, Capabilities and Experiences:

• Good phone etiquette and customer service experience preferred.

• Experience in pharmacy retail setting preferred.

• English and Spanish language fluency in both written and verbally is strongly preferred.

• For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.