Consultative Pharmacy Technician

This is a fully remote position, open to applicants in United States.

📋 Description

• Serve as the primary contact for calls from patients, pharmacies, and healthcare providers.

• Oversee advanced and specialized administrative, operational, and customer support tasks.

• Assist the Integrated Clinical Pharmacist with medication reconciliation processes.

• Prepare for activities related to medication therapy management.

• Aid in the management of chronic diseases.

• Familiarize with medication brand and generic names, medical terminology, and pharmaceutical calculations.

• Perform medication adherence outreach, auditing, documentation, and reporting for STAR measures.

• Collaborate with other departments to address member issues and inquiries regarding prior authorization or medication procurement.

• Participate in team meetings and provide feedback on workflow.

• Resolve prescription third-party claim rejections by examining formulary restrictions, plan limitations, drug utilization review overrides, and prior authorizations.

• Initiate and manage patient assistance programs, prior authorizations, formulary exceptions/alternatives, and tier reductions.

• Aid in scheduling disease management appointments, preparing for appointments, and conducting follow-up medication education tasks.

• Assist with scheduling medication therapy management appointments, preparing for appointments, and following up on medication reconciliation/education.

• Process specific medication claim updates as requested by clinical pharmacists or providers.

⛳️ Requirements

• Completion of a recognized Pharmacy Technician Program.

• Active State Pharmacy Technician Certification and License as required by the state of residence.

• PTCB Certification.

• One of the two PTCB certifications: Medication Therapy Management Certification (MTM) or Medication History Certification.

• Ability to obtain the other PTCB certification within 60 days of the start date.

• A minimum of three (3) years of experience as a Pharmacy Technician.

• Experience with prior authorization processes.

• Knowledge of the top 200 medications.

• Experience and/or capability to work with an electronic health record system.

• Exceptional oral and written communication skills.

• Availability to work Monday–Friday, 8:00 AM–5:00 PM local time.

• Internet service with a minimum of 25 Mbps download and 10 Mbps upload speed.

• A dedicated workspace free from ongoing interruptions to protect member PHI/HIPAA information.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Home-based remote work.

• No travel currently scheduled.