Pharmacy Customer Associate II

Pharmacy Customer Associate II

Shift: Monday – Friday; 11:30am – 8:00pm EST

Location:

On‑site with opportunity to transition to hybrid. Alternate locations may be considered for candidates residing within commuting distance.

• Respond to moderately complex customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions.
• Maintain positive customer relations and coordinate with internal functions to ensure timely resolution of customer requests.
• Interact with internal and external customers (e.g., subscribers, providers, benefit administrators, physician offices, third‑party representatives) to provide claims, customer service, and membership support.
• Handle client issues regarding insurance benefits, member eligibility, provider contracts, claims, and related information.
• Adjudicate claims through Pharmacy Benefit Managers, accurately read, interpret, and troubleshoot both paid and rejected claims.
• Conduct research to provide proactive, thorough solutions and interpret medical and pharmacy benefit plans, including copays, coinsurance, deductibles, out‑of‑pocket maximums, and coordination of benefits.
• Own service requests to ensure high‑quality resolution and follow‑through.
• Support and guide customers on their personal options and decisions, helping them become knowledgeable and confident about using available technology, tools, and resources.
• Multi‑task across calls, texts, faxes, and electronic queues while taking notes and communicating effectively.

• High school diploma or equivalent and minimum of 1year of experience in an automated customer service environment, or equivalent education and experience.
• General knowledge of pharmacy services, products, insurance benefits, contracts, and claims preferred.
• Strong oral, written, and interpersonal communication skills.
• Problem‑solving, facilitation, and analytical abilities.
• Ability to read and interpret prescription medication, including dosing and units based on day‑supply requirements.
• Attention to detail and ability to analyze complex information accurately.
• Proficiency with digital tools and platforms to enhance productivity.

• Hourly salary range: $18.66–$29.32 (Illinois, Nevada).
• Comprehensive benefits package including health, dental, vision, short‑ and long‑term disability, 401(k) with match, stock purchase plan, life insurance, wellness programs and financial education resources.
• Performance‑based incentive and recognition programs.

Elevance Health is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender identity or expression, marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status protected by applicable federal, state, or local laws.