Pharmacy Medication Management Specialist (Short-Term Assignment)

Inland Empire Health Plans; Rancho Cucamonga (CA); On-site; USD 52,000 - 68,000; Full time

Job summary

Inland Empire Health Plans is seeking a Pharmacy Medication Management Specialist for a short-term assignment in California. The role focuses on medication reconciliations, CMRs, and TMRs, with clear, compliant communication to providers and members.

You will document allergies and medication histories and assist with prior authorizations. The position requires a California Pharmacy Technician license, 1+ year of experience, and strong organizational and communication skills to support the

Qualifications

• Minimum 1 year experience as a pharmacy technician
• Active, unrestricted California Pharmacy Technician license
• Experience in a pharmacy benefit management setting preferred
• Associate or Bachelor’s degree is preferred
• Strong communication and documentation skills

Responsibilities

• Prepare member medication reconciliations and CMRs
• Perform targeted medication reviews (TMRs) and notify providers/matters for clinical review
• Document medication/allergy history accurately
• Answer questions and direct Providers/Members regarding medication management
• Communicate health plan processes clearly and schedule appointments as needed
• Provide technical review of prescription drug prior authorization and notify providers of decisions
• Handle calls related to medication management with professionalism

Skills

Pharmaceutical terminology

Excel

Organizational skills

Written communication

Verbal communication

Project management

Interpersonal skills

Critical thinking

Typing 40 WPM

Motivated & detail-oriented

Adaptability

Thrives in fast-paced environments

Education

High School Diploma or GED

Associate's or Bachelor's degree preferred

Job description

This is a short-term assignment.

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to anauthentic experience!

Under the direction of the Medication Management Pharmacy Operations Supervisor, the Pharmacy Medication Management Specialist is responsible for the preparation of member medication reconciliations, comprehensive medication reviews (CMRs), targeted medication reviews (TMRs) and their respective written notifications to the provider/member for clinical review. The Pharmacy Medication Management Specialist must be able to utilize all policies and resources to answer questions and direct Providers/Members appropriately in order to resolve their concerns, accept and make phone calls concerning all facets of medication management and schedule appointments appropriately. The Pharmacy Medication Management Specialist will need to demonstrate the ability to listen to Provider/Member concerns and questions and be able to accurately document medication/allergy history, as well as communicate health plan processes in a clear and knowledgeable manner. The Pharmacy Medication Management Specialist will also be responsible for the technical review of the prescription drug prior authorization and notifying the provider of the clinical decision.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Education & Requirements

• One (1) or more years of experience as a pharmacy technician in a pharmacy required
• Experience in a pharmacy benefit management setting preferred
• High School Diploma or GED required
  • Associate's degree or Bachelor's degree from an accredited institution preferred
• Possession of an active, unrestricted, and unencumbered Pharmacy Technician license issued by the California State Board of Pharmacy required

Key Qualifications

• Knowledge in pharmaceutical terminology is required
• Microsoft Office (Microsoft Excel skills preferred)
• Excellent organizational, written, and verbal communication required
• Project management skills preferred
• Good interpersonal skills. Excellent critical thinking skills
• Typing speed of 40 corrected words per minute (CWPM) required
• Highly motivated and self-starter. Detail-oriented
• Display the ability to adapt and perform duties efficiently whenever unexpected changes arise
• Works well in a fast-paced environment