Benefits Investigator Specialty Pharmacy

Anticipated End Date:

Position Title:

Job Description:

Pharmacy Customer Associate II

BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx) and a proud member of the Elevance Health family of companies. Together CarelonRx and BioPlus offer consumers and providers an unparalleled level of service thats easy and focused on whole health. Through our distinct clinical expertise digital capabilities and broad access to specialty medications across a wide range of conditions we deliver an elevated experience affordability and personalized support throughout the consumers treatment journey.

LOCATION: This is a virtual position (after training). You must be within a commutable distance of one of our offices (for training and meetings).

HOURS: To be determined but in the area of 10:30am-7:00pm PST (11:30am-8:00pm MST; 12:30pm-9:00pm CST; 1:30pm-10:00pm EST).

TRAINING: 5 Weeks training will be conducted during regular business hours 8:00am-5:00pm or 9:00am-6:00pm.

Onsite: This role requires associates to work from the posted locations full-time enabling consistent face-to-face collaboration teamwork and direct engagement. This policy promotes an environment built on in-person interaction communication and immediate support.

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.

Pharmacy Techs welcome!

The Pharmacy Customer Associate II is responsible for responding to basic customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions.

Primary responsibilities include but are not limited to:

• Develops and maintains positive customer relations and coordinates with functions within the company to ensure customer requests are handled and resolved appropriately and in a timely manner.

• Interacts with internal and external customers (could include subscribers providers group or benefit administrators physician offices third party representatives and other Blue Cross Plans) to provide claims customer service and/or membership support.

• Completes necessary research to provide proactive thorough solutions.

• Displays ownership of service requests ensuring high quality resolution and follow-thru.

• Supports and guides the customer with their personal options and decisions and helps the customer become knowledgeable and confident about using technology tools and resources available to them.

Required Qualifications

• Requires a HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications

• 2 years of Specialty Pharmacy experience strongly preferred.

• Certified or Registered Pharmacy Technician strongly preferred.

• Benefits investigation experience preferred.

• Experience processing and interpreting pharmacy claims preferred.

• Experience working with a variety of therapy types is very helpful.

• Strong critical thinking skills are a must for this position.

*For candidates working in person or virtually in the below location(s) the salary* range for this specific position is $18.66-27.98/hr.

Location(s): Nevada

In addition to your salary Elevance Health offers benefits such as a comprehensive benefits package incentive and recognition programs equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender race or any other category protected by federal state and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location work experience education and/or skill level. Even within the range the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned vested and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus commission benefits or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole discretion unless and until paid and may be modified at the Companys sole discretion consistent with the law.

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Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success - 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 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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health 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 priority for Elevance Health. We require all 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. Elevance Health will also follow all relevant federal state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin 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 for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 Florida Agency for Health Care Administration.