Pharmacy Technician Care Advocate (MTM & Adherence)

Centene Corporation; West Virginia; Remote; USD 21,862 - 37,539; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work schedules

Job summary

A diversified healthcare organization is seeking a Pharmacy Technician Care Advocate to perform telephonic outreach for medication management. The ideal candidate should have a high school diploma and experience in managed care or retail pharmacy. Bilingual candidates, especially those fluent in English and Spanish, are highly preferred. This role is remote and offers competitive pay along with a comprehensive benefits package including health, 401K, and flexible work schedules.

Qualifications

• 0-1 year of experience in managed care, hospitals, or retail pharmacy operations.
• Certified Pharmacy Technician (CPhT) is preferred.
• Experience with telephonic outreach for medication reviews and adherence.

Responsibilities

• Provide MTM services via triage of inbound calls.
• Document services to ensure compliance with CMS requirements.
• Engage in drug utilization review by supporting DUR initiatives.
• Assist with regulatory audits preparation.

Skills

Medication therapy management

Telephonic outreach

Data analytics

Bilingual (English and Spanish)

Education

High School or GED

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Pharmacy Technician Care Advocate - Call Center - MTM & Pharmacy Adherence - 11am - 8pm (In your own time zone) Monday - Friday - Remote / WFH

This is a work from home Call Center position. The main function is telephonic outreach to our members to complete medication reviews (MTM) and for Pharmacy Adherence.

Training 10am – 7pm Monday – Friday (EST / Eastern) for the first 2 weeks & 2 days only.

Working shift 11am – 8pm Monday – Friday (In your own time zone) - No exceptions

Position Purpose

• Provides medication therapy management (MTM) services via triage of inbound calls to the MTM hotline, monitors fax line for prescriber responses and completion of failed faxes, supports the pharmacist for completion of Comprehensive Medication Reviews (CMRs) through pre-work up and case preparation, communicates with network pharmacies, prescribers, and beneficiaries to provide MTM services.
• Documents and records services/activities in appropriate databases/software to ensure compliance with CMS requirements for clinical service offerings assigned in designated area.
• Engages in drug utilization review (DUR) by supporting the execution of DUR initiatives via meeting preparation, letter campaigns, and telephonic outreach to members/providers.
• Supports basic data analytic activities and tracking of interventions and assists with preparation and documentation of responses to regulatory audits associated with the over utilization program.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience

High School or GED required, 0-1 year of experience in pharmacy operations managed care, hospitals, and/or retail environments.

Licenses And Certifications

Certified Pharmacy Technician (CPhT) Preferred.

Bilingual

Fluent English & Spanish or other language, highly preferred.

Remote

US

Please attach an up-to-date resume to your application.

Pay Range $15.87 - $27.25 per hour. Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job‑related factors permitted by law, including full‑time or part‑time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.