Pharmacy Technician

General Summary of Position
The Pharmacy Technician works under the direction of the health plan pharmacists to facilitate the safe and effective use of medications by enrollees/members and their providers. The Pharmacy Technician prioritizes the needs of enrollees/members and develops and sustains collaborative professional relationships.

Primary Duties and Responsibilities

• Facilitates the accurate and timely processing of medication prior authorization requests.
• Communicates with patients, providers, and dispensing pharmacies to support medication-related requests and other departmental initiatives.
• Collects all pertinent information for Medical Reviewers (Medical Directors and pharmacists) to complete medication prior authorization clinical evaluation.
• Pharmacy Operations activities including Reviewing and finalizing monthly, quarterly, and annual PBM reports. Supports maintenance of PA metrics dashboard.
• Supports medication-related initiatives that align with strategic priorities with oversight from the Pharmacist. Activities may include but are not limited to outreaching to Enrollees/Members and Providers regarding HEDIS, EQRO or other quality measures.
• Completes required regulatory reports that the health plan submits to the regulators.
• Performs administrative tasks as requested by the departmental leadership.
• Participates in the ongoing development and expansion of pharmacy initiatives, programs and continuous process improvement activities. Develops standardized operating procedures and workflows.
• Supports case management and precertification team to facilitate overrides.
• Creates a pharmacy resource manual for the precertification team.
• Assists with website content management.
• Provides polypharmacy follow-up support for patients.
• Required to have availability to provide on-call coverage for pharmacy prior authorization requests received outside of normal business hours on a rotating basis.
• Acts as Subject Matter Expert to support interdepartmental projects.

Minimal Qualifications
Education

• High School Diploma or GED required
• Associate's degree preferred

Experience

• 1-2 years experience as a pharmacy technician in an outpatient dispensing pharmacy required
• Experience supporting quality improvement goals with focus on HEDIS preferred
• Previous experience with prior authorization review processes preferred
• Previous use or knowledge of Cerner or MedConnect preferred
• Health Literacy Training preferred
• Health Equity Training preferred

Licenses and Certifications

• LPT - Licensed Pharmacy Technician required upon hire