Consultative Pharmacy Technician
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The Consultative Pharmacy Technician 3 reports to a supervisor of Consultative Pharmacy and supports the interdisciplinary CIT team by helping resolve medication access barriers for primary care-managed medications.
This role assists with:
Medication list reviews
Formulary and cost-management needs,
Patient Assistance Program applications,
Low Income Subsidy screening and enrollment support,
Medicare Prescription Payment Plan education,
Pharmacy-related access issues,
Manages referrals through established workflows,
Conducts patient outreach
Coordinates with clinics and providers
Documents case activity
follows program guidelines to support timely and appropriate medication access assistance.
Additional responsibilities include
- Know and continually review medication brand and generic names, medical terminology, and pharmaceutical calculations.
- Medication adherence outreach, auditing, documenting, and reporting as it pertains to STAR measures when applicable.
- Responsible for interacting with other departments to assist with member problems or questions and act as facilitator to resolve them regarding prior authorization or obtaining medications.
- Attend scheduled team meetings and provide relevant feedback regarding workflow issues.
- Receive and manage referrals submitted through the Internal Medication Access Program referral process.
- Responsible for initiating and following through with patient assistance programs, prior authorizations, formulary exceptions/alternatives, and tier reductions to help patients afford their medications.
- Provide role-appropriate assistance for pharmacy-related access issues (Medication packaging education, Pharmacy transfers, third party rejections and override assistance).
- Processing of select medication claim updates (lists) as requested by the clinical pharmacists or providers.
- Document outreach attempts, outcomes, and case status updates according to workflow requirements.
Required Qualifications
- 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 ability to obtain MTM Certification within 60 days of hire date.
- Minimum three (3) more years of experience as a Pharmacy Technician
- Knowledge of the top 200 drugs
- Comfortable working with or learning electronic health record systems
- Prior Authorization experience
- Pharmacy Benefit Management experience
Preferred Qualifications
- Mail Order Pharmacy experience
- Bilingual in Spanish
- Workstyle: Remote Work at Home
Location
- Nationwide
Schedule
- M-F 8:00-5:00 PM local time
- Travel: None at this time
About us
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
About CenterWell Pharmacy
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Humana
Health insurance and care services provider.
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