Pharmacy Customer Associate II - BioPlus Specialty Pharmacy
Elevance Health, Florida, NY, United States
Pharmacy Customer Associate II - BioPlus Specialty Pharmacy
Hours:
8:30 am - 5 pm or 11 am - 7:30 pm EST
Location:
This role requires associates to be in-office 1 - 2 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 virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Hybrid Work Policy:
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.
The Pharmacy Customer Associate II will be responsible for responding to moderately complex customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions.
How you will make an impact
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.
Responds to client issues via telephone and written correspondence regarding insurance benefits member, provider contracts, eligibility, claims, etc.
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.
Associates in this role are expected to have the ability to multi‑task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.
Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast‑paced, high‑pressure environment; strong verbal and written communication skills, both with virtual and in‑person interactions; attentive to details, critical thinker, and a problem‑solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.
Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
Performs other duties as assigned.
Minimum Requirements
Requires a HS diploma or equivalent and a minimum of 1 year of the company's experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences
Specialty Pharmacy experience.
Pharmacy and Medical claim research experience.
Copay card and/or manufacturing experience.
Call center experience.
General knowledge of company pharmacy services, products, insurance benefits, contracts, and claims preferred.
Employment Conditions
Associates will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
COVID‑19 and Influenza vaccinations are required for all new candidates in certain patient/member‑facing roles unless an acceptable explanation is provided.
Equal Employment Opportunity Statement
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, and local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com 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.
#J-18808-Ljbffr
Hours:
8:30 am - 5 pm or 11 am - 7:30 pm EST
Location:
This role requires associates to be in-office 1 - 2 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 virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Hybrid Work Policy:
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.
The Pharmacy Customer Associate II will be responsible for responding to moderately complex customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions.
How you will make an impact
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.
Responds to client issues via telephone and written correspondence regarding insurance benefits member, provider contracts, eligibility, claims, etc.
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.
Associates in this role are expected to have the ability to multi‑task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.
Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast‑paced, high‑pressure environment; strong verbal and written communication skills, both with virtual and in‑person interactions; attentive to details, critical thinker, and a problem‑solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.
Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
Performs other duties as assigned.
Minimum Requirements
Requires a HS diploma or equivalent and a minimum of 1 year of the company's experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences
Specialty Pharmacy experience.
Pharmacy and Medical claim research experience.
Copay card and/or manufacturing experience.
Call center experience.
General knowledge of company pharmacy services, products, insurance benefits, contracts, and claims preferred.
Employment Conditions
Associates will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
COVID‑19 and Influenza vaccinations are required for all new candidates in certain patient/member‑facing roles unless an acceptable explanation is provided.
Equal Employment Opportunity Statement
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, and local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com 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.
#J-18808-Ljbffr