Consultative Pharmacy Technician

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

📋 Description

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

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

• Assist the interdisciplinary CIT team in overcoming medication access challenges for primary care-managed prescriptions.

• Perform reviews of medication lists and address formulary and cost-management requirements.

• Aid in the application process for the Patient Assistance Program and conduct screenings for Low Income Subsidy enrollment.

• Provide education to patients regarding the Medicare Prescription Payment Plan.

• Handle pharmacy-related access challenges and referrals in accordance with established protocols.

• Engage in patient outreach and collaborate with clinics and providers.

• Record case activities, outreach efforts, outcomes, and updates on case statuses.

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

• Conduct medication adherence outreach, including auditing, documenting, and reporting relevant to STAR measures as necessary.

• Facilitate the resolution of prior authorization and medication acquisition issues in collaboration with other departments.

• Attend scheduled team meetings and provide feedback on workflow processes.

• Receive and manage referrals through the Internal Medication Access Program referral system.

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

• Provide assistance with medication packaging education, pharmacy transfers, third-party rejections, and override support.

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

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

⛳️ Requirements

• Successful completion of an accredited Pharmacy Technician Program.

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

• PTCB Certified with Medication Therapy Management Certification.

• At least three (3) years of experience as a Pharmacy Technician.

• Familiarity with the top 200 medications.

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

• Prior Authorization experience.

• Experience in Pharmacy Benefit Management.

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

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

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

🏝️ Benefits

• Medical, dental, and vision insurance.

• 401(k) retirement savings plan.

• Paid time off.

• Company and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance benefits.

• Self-provided internet service for remote work, meeting required minimum speeds of 25 Mbps download and 10 Mbps upload.

• A dedicated workspace to ensure protection of member PHI / HIPAA information.

• No travel required currently, though occasional travel to Humana offices for training or meetings may be necessary.