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.

• Execute advanced administrative, operational, and customer support tasks.

• Collaborate with the interdisciplinary CIT team to eliminate medication access obstacles.

• Carry out reviews of medication lists.

• Address formulary and cost-management concerns.

• Aid in the completion of Patient Assistance Program applications.

• Facilitate Low Income Subsidy screening and enrollment.

• Educate patients about Medicare Prescription Payment Plans.

• Resolve issues related to pharmacy access.

• Oversee referrals utilizing established workflows.

• Conduct outreach to patients.

• Coordinate with clinics and healthcare providers.

• Document case activities and the outcomes of outreach efforts.

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

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

• Assist in the resolution of prior authorization and medication access challenges.

• Participate in team meetings and provide feedback on workflows.

• Receive and manage referrals for the Internal Medication Access Program.

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

• Offer guidance on medication packaging education, pharmacy transfers, third-party rejections, and override assistance.

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

• Adhere to program guidelines to ensure timely and appropriate medication access support.

⛳️ Requirements

• Successful completion of an accredited Pharmacy Technician Program.

• Active, unrestricted State Pharmacy Technician License in your state of residence.

• PTCB Certified with Medication Therapy Management (MTM) Certification or the ability to acquire MTM Certification within 60 days of the hire date.

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

• Familiarity with the top 200 medications.

• Comfortable with or willing to learn electronic health record systems.

• Prior Authorization experience is essential.

• Experience in Pharmacy Benefit Management.

• Preferred experience in Mail Order Pharmacy.

• Bilingual in Spanish is a plus.

• Availability for scheduling Monday-Friday, 8:00 AM-5:00 PM local time.

• Minimum home internet speed of 25 Mbps download and 10 Mbps upload is required.

• Capability to work from a designated space without interruptions to safeguard member PHI/HIPAA information.

🏝️ Benefits

• 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.

• Remote work from home.

• No travel required at this time.