[Hiring] Consultative Pharmacy Technician @CenterWell

Role Description

Become a part of our caring community as a Consultative Pharmacy Technician 3. This role involves acting as an intake for all calls from patients, pharmacies, and providers, performing advanced administrative, operational, and customer support duties that require independent initiative and judgment.

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
• Managing referrals through established workflows
• Conducting patient outreach
• Coordinating with clinics and providers
• Documenting case activity
• Following program guidelines to support timely and appropriate medication access assistance

Additional responsibilities include:

• Knowing and continually reviewing 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
• Interacting with other departments to assist with member problems or questions and acting as a facilitator to resolve them regarding prior authorization or obtaining medications
• Attending scheduled team meetings and providing relevant feedback regarding workflow issues
• Receiving and managing referrals submitted through the Internal Medication Access Program referral process
• Initiating and following through with patient assistance programs, prior authorizations, formulary exceptions/alternatives, and tier reductions to help patients afford their medications
• Providing role-appropriate assistance for pharmacy-related access issues (Medication packaging education, Pharmacy transfers, third party rejections, and override assistance)
• Processing select medication claim updates (lists) as requested by clinical pharmacists or providers
• Documenting outreach attempts, outcomes, and case status updates according to workflow requirements

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

Work at Home Requirements

• Minimum download speed of 25 Mbps and upload speed of 10 Mbps required
• Wireless, wired cable or DSL connection is suggested
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours

• 40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job-related skills, knowledge, experience, education, certifications, etc.

$44,900 - $60,200 per year

Benefits

Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance
• Many other opportunities