Remote Pharmacy Technician – Advanced Dispensing & Patient Services Specialist (Hybrid/Full‑Remote)
About CarelonRx – A Digital‑First Pharmacy Leader within Elevance Health
CarelonRx, formerly known as IngenioRx, is a proud member of the Elevance Health family— a Fortune 20 health‑care organization recognized worldwide for its commitment to improving lives and strengthening communities. Our Home Delivery Pharmacy model is built on a “digital‑first” philosophy, delivering a seamless, convenient, and cost‑effective experience for members, prescribers, and payors alike. From modern, employee‑friendly facilities to a robust remote‑work infrastructure, we empower our teams to bring whole‑person care to every interaction, driving medication adherence, affordability, and superior health outcomes.
Why Join Our Extraordinary Team?
At Elevance Health, we don’t just offer a job; we provide a purpose‑driven career where your expertise directly impacts the health and well‑being of millions. As a Pharmacy Technician – Advanced Dispensing & Patient Services Specialist, you will operate at the nexus of technology, patient care, and regulatory excellence. Whether you thrive in a collaborative office setting or prefer the flexibility of a home‑based environment, our hybrid workforce strategy ensures you have the support, tools, and autonomy to succeed.
- Be part of a Fortune 20 company consistently ranked among Fortune’s “World’s Most Admired Companies” and a “Great Place to Work.”
- Work with cutting‑edge pharmacy platforms, AI‑enhanced claims adjudication, and a state‑of‑the‑art contact‑center toolkit.
- Enjoy a vibrant, inclusive culture that celebrates innovation, continuous learning, and diverse perspectives.
- Receive a competitive salary, a $1,500 sign‑on bonus, and a comprehensive total‑rewards package (detailed below).
Key Responsibilities – Your Daily Impact
In this role you will perform the full spectrum of pharmacy‑technician duties under the regulatory authority of the state(s) you practice in, supporting the CarelonRx Pharmacist and ensuring the highest standards of safety, compliance, and patient satisfaction.
- Prescription Fulfillment & Complex Case Management: Accurately process dispensing orders, handle claim adjudication exceptions, manage returns, reships, drug recalls, and resolve escalated patient or prescriber issues.
- Member Education & Support: Educate members on pharmacy regulations, medication assistance programs, and benefit utilization, ensuring they understand their treatment options and costs.
- Subject‑Matter Expertise: Serve as the go‑to resource for service‑failure remediation, workflow optimization within the contact‑center platform, and the prescription processing system.
- Pharmacist Partnership: Collaborate closely with pharmacists to conduct patient outreach, resolve open issues, and facilitate seamless communication between prescribers, members, and the pharmacy team.
- Prior Authorization Management: Process prior‑authorization requests, verify compliance with regulatory standards, and communicate decisions promptly to prescribers and members.
- Grievance & Appeals Resolution: Investigate and resolve grievances, appeals, and other member concerns, documenting outcomes and ensuring adherence to policy.
- Communication & Triage: Manage inbound/outbound pharmacy inquiries, triage issues, and drive problem‑solving across patient services and pharmacy processing tools, maintaining optimal prescription‑queue workflow.
- Formulary & Benefit Inquiries: Respond to physicians, sales teams, and members regarding formulary status, medication benefits, and coverage details.
- Reporting & Analytics: Generate and analyze reports on rebates, physician utilization, Beers Criteria compliance, Reliance member metrics, and ad‑hoc data requests to support operational decisions.
- Mentorship & Leadership: Train and mentor junior pharmacy technicians, lead prescription‑queue assignments, and ensure quality standards, turnaround times, and exceptional patient‑prescriber experience are consistently met.
Essential Qualifications – What You Must Bring
- Education & Experience: High school diploma or equivalent plus a minimum of five (5) years of progressive pharmacy experience.
- Licensure & Certification: Active, professional pharmacy‑technician license (or state‑required certification) in the state(s) of practice, including State Pharmacy Technician Certification or National Certification as applicable.
- PBM & Claims Expertise: Demonstrated experience with Pharmacy Benefit Manager (PBM) processes, insurance plan setup, claims adjudication, and resolution of reject messages.
- Regulatory Knowledge: Solid understanding of state and federal pharmacy regulations, including controlled‑substance handling, HIPAA, and medication safety standards.
- Communication Skills: Excellent oral and written communication abilities, with a proven track record of delivering clear, empathetic, and professional interactions with patients, prescribers, and internal stakeholders.
Preferred Experience & Skills – Your Competitive Edge
- Experience in a high‑volume mail‑order or specialty pharmacy environment.
- Familiarity with URAC‑accredited pharmacy operations and associated competency frameworks.
- Advanced analytical skills—ability to interpret data trends, generate actionable insights, and drive process improvements.
- Strong facilitation skills for training sessions, workshops, and cross‑functional collaborations.
- Proficiency with pharmacy‑specific software platforms (e.g., Rx30, Cerner, QS/1) and contact‑center tools (e.g., NICE inContact, Five9).
- Demonstrated ability to lead teams, manage competing priorities, and meet strict turnaround‑time expectations in a fast‑paced setting.
Work Arrangement – Hybrid or Fully Remote
We recognize that talent comes from everywhere. If you reside within a 50‑mile radius of our Mason, Ohio campus, you will begin with full‑time, on‑site training and transition to a hybrid schedule (1‑2 days per week onsite). Candidates located beyond the 50‑mile radius will enjoy a completely remote experience—training, onboarding, and day‑to‑day responsibilities are all conducted virtually. Regardless of location, you will have access to our state‑of‑the‑art digital workstations, secure VPN, and collaborative platforms to stay connected with the team.
Compensation, Perks & Benefits – A Total Rewards Package That Works for You
While specific salary figures will be commensurate with experience, successful candidates can anticipate a market‑competitive base pay, a $1,500 sign‑on bonus, and eligibility for performance‑based incentive programs. Our holistic benefits suite includes:
- Health & Wellness: Medical, dental, vision coverage, short‑ and long‑term disability, and a robust employee assistance program.
- Financial Security: 401(k) plan with company match, employee stock purchase plan, life insurance, and accidental death & dismemberment coverage.
- Paid Time Off: Generous vacation accruals, paid holidays, and flexible PTO to support work‑life balance.
- Professional Development: Tuition reimbursement, certification support, access to e‑learning platforms, and internal mentorship programs.
- Wellness Incentives: On‑site fitness centers (where applicable), virtual wellness challenges, mental‑health resources, and nutrition counseling.
- Technology Stipends: Home‑office equipment allowance for remote team members, ensuring a productive and ergonomic workspace.
Career Growth & Learning Opportunities
CarelonRx invests heavily in the future of its workforce. As a Pharmacy Technician Specialist, you will have clear pathways to advance into senior technical, supervisory, or operational leadership roles. Opportunities include:
- Specialized certifications (e.g., Certified Pharmacy Technician – CPhT, Specialty Pharmacy Certification).
- Cross‑functional rotations in analytics, compliance, or project management.
- Leadership development programs focused on team management, strategic thinking, and change management.
- Mentorship from senior pharmacists and corporate leaders who champion continuous improvement.
Our culture of learning is reinforced through regular workshops, webinars, and access to industry conferences, enabling you to stay ahead of emerging pharmacy trends and regulatory updates.
Culture, Values & Work Environment
Our people are our greatest asset. At Elevance Health, we cultivate an inclusive, collaborative, and purpose‑driven environment where every voice matters. Key cultural pillars include:
- Patient‑First Mindset: Decisions are guided by what delivers the best outcomes for members and their families.
- Innovation & Agility: We embrace technology and data‑driven insights to evolve our pharmacy services continuously.
- Integrity & Compliance: Our operations meet the highest regulatory standards, fostering trust with patients and partners.
- Community Engagement: Employees are encouraged to participate in volunteer initiatives, health education programs, and local outreach.
- Diversity & Inclusion: We champion a workplace where diverse perspectives fuel better solutions and a richer employee experience.
All employees, regardless of role, benefit from regular town‑halls, employee resource groups, and transparent communication from senior leadership.
Application Process & Next Steps
Ready to make a meaningful difference in the lives of patients while advancing your pharmacy career? Follow these steps to submit your application:
- Visit our careers portal at careers.elevancehealth.com and locate the “Pharmacy Technician – Advanced Dispensing & Patient Services Specialist” posting.
- Prepare an up‑to‑date resume highlighting your pharmacy experience, certifications, and any relevant high‑volume or specialty pharmacy work.
- Draft a concise cover letter that describes why you are passionate about remote pharmacy care, how your skill set aligns with the responsibilities, and your preferred work arrangement (hybrid or fully remote).
- Complete the online application, attach your documents, and answer any pre‑screening questions.
- Upon submission, our recruiting team will review your profile, and qualified candidates will be contacted for a virtual interview series that includes a technical assessment, situational judgment scenarios, and cultural fit discussions.
We value diversity and encourage individuals of all backgrounds to apply. If you require accommodation during the recruitment process, please let us know and we will gladly assist.
Take the Leap – Join Us Today!
At CarelonRx, you’ll be part of a forward‑thinking, mission‑driven organization where every prescription you help process contributes to better health outcomes for real people. Embrace the flexibility of remote work, the excitement of a hybrid studio, and the support of a Fortune 20 family that truly invests in its employees. Click the link below to start your application and become a catalyst for change in the evolving world of pharmacy services.
Apply Now – Transform Patient Care
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