Transform the Lives of Seniors as a Pharmacy Technician with Alignment Health! We're seeking a highly skilled and compassionate Pharmacy Technician to join our team, working remotely and making a real difference in the lives of our members. As a key player in our Pharmacy Department, you'll have the opportunity to work with a world-class technology platform, innovative care delivery models, and a serving heart culture that prioritizes the well-being of our seniors.
As a Pharmacy Technician, you will perform a variety of clinical pharmacy functions under the direct supervision of our VP of Pharmacy and Pharmacy Manager. Your responsibilities will include providing administrative and clerical support, assisting with daily operations, participating in audits, and making outbound calls to members, prescribers, and pharmacies. You'll also interact with our contracted Pharmacy Benefit Manager (PBM) to resolve prescription issues and ensure compliance with CMS requirements.
About the Role:
- Assist with daily operations of Pharmacy Department programs
- Make high-volume outbound calls to members, prescribers, and pharmacies regarding the Adherence program
- Assist members with refilling medications and reaching out to prescriber's offices for additional refills
- Draft routine reports and correspondence
- Support CMS required oversight processes of PBM, including rebates and Explanation of Benefit reports
- Respond to inquiries from physicians, members, and pharmacies related to formulary and prescription benefits
- Retrieve accurate and timely drug information
- Interact with Plan's contracted PBM to ensure effective communication and information sharing
- Resolve prescription issues, such as Prior Authorizations and third-party rejections
- Work closely with the compliance department to ensure Pharmacy Programs meet CMS criteria
- Maintain confidentiality of HMO members' information according to HIPAA
Requirements:
- Pharmacy Technician license and/or certification preferred
- 1-3 years of related experience, with a minimum of one year in generating healthcare pharmacy reports and analysis
- Basic computer skills (Microsoft Outlook, Excel, Word) and related/integrated systems
- Knowledge of Medicare/Managed Care Plans and/or PBM preferred
- Excellent verbal and phone communication skills (customer service)
- Knowledge of pharmacy and medical nomenclature/terminology, common medication dosages, trade & generics, and medication therapy application
- Excellent organizational skills with the ability to maintain accurate records and collect data for statistical reporting
- Ability to multi-task with minimal direction and carry out instructions
Nice-to-Haves:
- Bilingual in English/Spanish, English/Chinese (Mandarin), or English/Vietnamese strongly preferred
What We Offer:
- Competitive hourly pay ranging from $20.00 to $24.30
- Opportunity for growth and career development within the company
- Supportive work culture that encourages sharing ideas and perspectives
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