Be Part of an Extraordinary Team 

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 that’s 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 consumer’s treatment journey.

Pharmacy Customer Associate III

Location: TX-SAN ANTONIO, 4751 HAMILTON WOLF RD, STE 101

ONSITE 5 Days/week: 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.

The Pharmacy Customer Associate III is responsible for managing our intake process and ensuring accurate benefits investigation to support patient access to specialty medications. This position requires a collaborative professional who can efficiently handle prescription volumes, update patient records, and liaise with team members to secure paid pharmacy claims.

How you will make an impact:

Primary duties may include, but are not limited to:

• Oversee prescription processing with accuracy, maintaining confidentiality and HIPAA compliance, while ensuring coordination of patient care and adherence to 340B program and company standards.

• Act as a subject matter expert, advocating for patient access to specialty medications, resolving complex benefit issues, and leading improvements in workflow and service delivery.

• 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.

• Promotes process improvement opportunities including responding to suggestions communicated by customers.

Minimum requirements:

• Requires HS diploma or equivalent and a minimum of 3 years of experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Minimum of 2 years of experience in healthcare, pharmacy, or related services, preferred.

• Knowledge of the 340B program and experience with specialty medications is highly preferred.

• Certified Pharmacy Technician (CPhT) or related certification preferred.

• Familiarity with benefits investigation and pharmacy PBM processes, preferred.

• Strong organizational skills and attention to detail, preferred.

• Excellent communication, organizational, and problem-solving skills, preferred.

• Proficiency in using healthcare information systems and Microsoft Office applications, preferred.

• General knowledge of company pharmacy services, products, insurance benefits, contracts and claims preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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 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.