Verifies member information and inputs data for the pharmacists. Serves as mentor for less experienced staff. Serves as department representative on intra-departmental initiatives. Assists in formal training of associates and process improvement initiatives. Conducts reviews by utilizing appropriate scripted algorithms in compliance with department guidelines and consistent with the members eligibility, benefits and contract. Develops working partnerships with physicians, healthcare service providers, and internal and external customers. Consults with clinical reviewers. Refers treatment plans to peer clinical reviewers in accordance with established criteria/guidelines. Minimum Requirements:Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States. Requires H. S. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences:Specialty Pharmacy Experience preferred. For candidates working in person or virtually in the below locations, the salary - range for this specific position is $20.23 to $31.80 Location(s): Colorado, Nevada. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401 k 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 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 Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Job Level:Non-Management Non-Exempt. Workshift: