Pharmacy Technician

MyCare Medical Group; United States; On-site; USD 28,000 - 41,000; Full time

Benefits offered by this job

Health, Vision, Dental, and Life insur

PTO Accrual and Holidays

401(k) retirement plan

Disability insurance

FSA and Life Assistance Program

Travel Assistance

Job summary

MyCare Medical Group is seeking a Clinical Operations Pharmacy Technician to support primary care physicians, clinics and patients by executing programs to improve health outcomes with a focus on prescription drugs and medication therapy management.

The role drives prescription optimization, manages chronic disease medications lifecycle, and aims to maximize PDC adherence by identifying barriers, coordinating refills, and communicating with pharmacies and care teams.

Qualifications

• Pharmacy Technician Certification
• Ability to speak English and Spanish fluently
• HEDIS knowledge and Medication Adherence Guidelines
• Insurance processing and call center processes experience
• Experience with EMR and pharmacy software

Responsibilities

• Track data on PDC gaps and perform administrative tasks
• Make outbound and inbound calls to members
• Outreach to MyCare Medical members
• Collect medication histories and identify barriers to adherence
• Ensure timely refills and synchronize medications
• Communicate with pharmacies regarding refills
• Utilize Payor Portals
• Flag clinical barriers to PCP for therapy adjustments

Skills

Excellent communication skills

Analytical skills

HEDIS knowledge

Medication adherence knowledge

Spanish fluency

Education

High School Diploma or equivalent

State Pharmacy Technician License or National Certification

Tools

EMR systems

Pharmacy software

Job description

Clinical Operations Pharmacy Technician

Job Summary

As a Clinical Operations Pharmacy Technician, you will support primary care physicians, clinics and patients by executing programs developed to improve overall health outcomes with a focus on prescription drugs and medication therapy. (HEDIS medication adherence) You will assist in driving prescription drug optimization in cases where patients are taking multiple medications.

The Clinical Operations Pharmacy Technician will be responsible for the lifecycle management of chronic disease medications. This role focuses on maximizing the Proportion of Days Covered (PDC) by identifying and resolving barriers to adherence before they result in a gap in care.

Key Responsibilities

• Data Tracking (PDC gap lists) Perform varied activities and moderately complex administrative,
• Operational, customer support assignments.
• Make outbound and take inbound calls.
• Patient outreach MyCare Medical members.
• Collect medication history information and identify Barriers (access, side effects, cost)
• Ensure prescriptions are refilled and picked up timely by the member and synchronize medications
• Communicate with Pharmacies regarding refills
• Utilize Payor Portals
• Proactive "Leads" Management: Review EMR alerts and PDC gap lists daily to initiate outreach 14-21 days prior to a patient's expected "run-out" date.
• Medication Synchronization: Actively coordinate with retail and mail-order pharmacies to align multiple chronic medications to a single 100-day refill cycle.
• Physician Liaison: Flag clinical barriers (e.g., side effects or therapeutic duplication) to the PCP to facilitate script adjustments, ensuring the patient doesn't simply abandon therapy.

Qualifications

• Resident State Pharmacy Technician License OR National Pharmacy Technician Certification.
• High School Diploma or equivalent.
• Excellent communication skills both written and verbal.
• Applied knowledge of HEDIS, medication adherence, insurance processing, customer service or call center processes and practices.
• Strong analytical skills with the ability to interpret PDC reports and prioritize patient lists based on 'impact ability'"
• Familiarity with Medicare Advantage Star Ratings and the impact of Triple-Weighted HEDIS measures (Diabetes, Hypertension, Cholesterol)."

Requirements

• Pharmacy Technician Certification
• Ability to speak both English and Spanish fluently.
• Remote: will train onsite at CBO Lutz Fl for 1 week
• You must be on time, dressed appropriately
• HEDIS knowledge and previous experience with Medication Adherence Guidelines

Preferred Qualifications

• Experience in mail order and/or retail pharmacy setting.
• Strong communication and telephonic skills.
• Ability to solve problems and encourage others in collaborative problem solving.
• Self-directed, but also able to work well in a group.
• A positive, proactive attitude, energetic, highly motivated and a self-starter.
• Work ethic that is focused, accurate and highly productive.
• Strong attention to detail and accuracy
• Excellent communication and customer service skills
• Ability to work in a fast-paced environment
• Basic math and computer skills
• Knowledge of pharmacy software systems (e.g., EMR)

Success Measures

• Monthly PDC Target: Maintain a panel adherence rate of >80% for assigned members.
• Documentation: 100% of outreach attempts and barrier resolutions documented in the EMR within 24 hours.

Benefits and Details

• Comprehensive benefits package, including Health, Vision, Dental, and Life insurances
• PTO Accrual and Holidays
• 401(k) retirement savings plan.
• Short-term and long-term disability.
• FSA and Life Assistance Program (EAP)
• Health Advocacy, Travel Assistance, and My Secure Advantage

Scheduled Weekly Hours

• 40

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Pay Range

$20 - $30 per hour