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.

• Assist in overcoming medication access challenges for medications managed by primary care.

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

• Handle applications for the Patient Assistance Program.

• Facilitate screening and enrollment for the Low Income Subsidy.

• Provide education regarding the Medicare Prescription Payment Plan.

• Manage referrals following established workflows.

• Conduct outreach to patients and coordinate with clinics and providers.

• Record case activities and adhere to program guidelines.

• Execute medication adherence outreach, including auditing, documenting, and reporting for STAR measures as applicable.

• Assist in resolving prior authorization and medication access challenges.

• Participate in team meetings and offer insights on workflow improvements.

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

• Aid in medication packaging education, pharmacy transfers, third-party rejections, and override assistance.

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

• Keep records of outreach attempts, outcomes, and updates on case status.

⛳️ Requirements

• Completion of a recognized Pharmacy Technician Program.

• Active and 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.

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

• Familiarity with the top 200 drugs.

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

• Experience with Prior Authorization.

• Experience in Pharmacy Benefit Management.

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

• Self-sufficient internet service with a minimum of 25 Mbps download and 10 Mbps upload speed.

🏝️ Benefits

• Medical, dental, and vision insurance.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability insurance.

• Life insurance coverage.

• Occasional travel to Humana offices for training or meetings may be required.