Pharmacy Technician II

Role Overview

• Verifies member information and inputs data for the pharmacists
• Processes prior authorization requests from physicians' offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations
• Provides resolution to grievances and appeals issues
• Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits
• Educates members about prescriptions and medication resources or assistance programs, and on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures
• Assists members with scheduling their preventive tests/screenings and medication resources or assistance programs
• Makes outreach to members or providers to close care gaps and improve outcomes

Requirements

• Requires an active, professional license, if required by state law
• State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States
• Requires H.S. diploma or equivalent
• Minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background
• Call center experience (preferred)

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs (unless covered by a collective bargaining agreement)
• Medical, dental, vision benefits
• Short and long term disability benefits
• 401(k) + match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources