Pharmacy Medication Management Specialist – Short-Term Assignment

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

📋 Description

• Conduct medication reconciliations for members, as well as comprehensive medication reviews (CMRs) and targeted medication reviews (TMRs).

• Draft written notifications for providers and members regarding clinical reviews.

• Leverage policies and resources to address inquiries and guide providers and members appropriately.

• Handle incoming and outgoing phone calls related to all aspects of medication management.

• Schedule appointments as needed.

• Attend to concerns and questions from providers and members.

• Accurately record medication and allergy histories.

• Clearly and knowledgeably communicate health plan processes.

• Perform technical reviews for prescription drug prior authorizations.

• Inform providers of clinical decisions made.

• Integrate IEHP Quality Program objectives, including HEDIS, CAHPS, and NCQA Accreditation.

⛳️ Requirements

• A minimum of one (1) year of experience as a pharmacy technician in a pharmacy is required.

• Experience in a pharmacy benefit management environment is preferred.

• A High School Diploma or GED is required.

• An Associate’s degree or Bachelor’s degree from an accredited institution is preferred.

• An active, unrestricted, and unencumbered Pharmacy Technician license issued by the California State Board of Pharmacy is required.

• Proficiency in pharmaceutical terminology is essential.

• Familiarity with Microsoft Office; skills in Microsoft Excel are preferred.

• Strong organizational, written, and verbal communication skills are required.

• Project management experience is preferred.

• Good interpersonal skills are necessary.

• Excellent critical thinking abilities are required.

• A typing speed of 40 corrected words per minute (CWPM) is required.

• Highly motivated and able to work independently.

• Detail-oriented with the ability to adapt and perform duties efficiently in response to unexpected changes.

• Ability to thrive in a fast-paced environment.

🏝️ Benefits

• Comprehensive health insurance options.

• Retirement savings plans with employer contributions.

• Continuing education and professional development opportunities.

• Flexible work schedules to promote work-life balance.

• Supportive team environment that values collaboration.