United States onlyJob Summary:
The Medicare pharmacy technician is responsible for making phones calls to members to support them with getting their prescriptions refilled. Responsibilities also include identification of medication adherence barriers and assisting with resolution of the identified barrier. The technician will work with the medication adherence team to support achievement of the overall pharmacy Stars goal.
Essential Functions:
- The essential functions listed represent the major duties of this role, additional duties may be assigned.
Acts as a liaison (SME) between the Medicare members and the plan to improve medication adherence and support achievement of the plan’s Stars goals.
- Research alternative phone numbers for members when unable to reach due to inaccurate contact information.
- Manage daily reports and call lists that identify members needing a prescription refill.
- Initiate phone calls to members to encourage them to refill their prescriptions.
- Build rapport, influence members and their care givers to improve adherence with prescribed medications.
- Identify and address barriers preventing members from being adherent with their medications.
Identify adherence issues that require escalation to a pharmacist and facilitate the escalation process.
Contact pharmacies or doctor’s offices to facilitate getting the prescription refills as needed.
- Record member interventions.
Support the medication adherence pharmacists with ad-hoc outreach as needed.
- Effectively manage internal and external communications.
- Collaborate with the MTM team, other pharmacy and Stars team members to achieve the Stars goals
Required Qualifications:
2+ years related work experience. Experience Details: 1+ year in pharmacy operations, hospitals, or retail; call center or MTM/adherence experience preferred.
High school diploma or GED
Preferred Qualifications:
CPhT - Cert Pharmacy Technician
Understanding of Medicare Part D, formulary, step-care, prior authorization, quantity limits, and therapeutic categories.
Strong verbal/written skills, active listening, empathy, and ability to explain complex medical/pharmacy terms clearly.
General Physical Demands:
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.
What We Offer:
As a Florida Blue employee, you will be at the heart of GuideWell’s vision – to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living.
To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:
- Medical, dental, vision, life and global travel health insurance;
- Income protection benefits: life insurance, short- and long-term disability programs;
- Leave programs to support personal circumstances;
- Retirement Savings Plan including employer match;
- Paid time off, volunteer time off, 10 holidays and 2 well-being days;
- Additional voluntary benefits available; and
- A comprehensive wellness program
Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.
To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.
Hourly Pay Range: $19 - $30
Typical Hourly Pay Range: $19 - $23
Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.
We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.
AU, CA + 3 more