Pharmacy Technician / STARS

MCS Puerto Rico; San Juan (PR); On-site; USD 36,000 - 48,000; Full time

Job summary

MCS Puerto Rico is seeking a Pharmacy Technician to oversee clinical interventions and calls with beneficiaries, providers, and pharmacies to promote correct medication use and improve adherence, contributing to higher Star Ratings.

The role requires an Associate’s degree in Pharmacy Technician, a valid license/registration, and at least one year of experience in community or institutional pharmacies, plus knowledge of ICD-10 criteria and CPT codes.

Qualifications

• Associate’s degree in Pharmacy Technician required.
• Valid Pharmacy Technician License and Registration required.
• Knowledge of ICD-10 clinical criteria and CPT codes helpful.

Responsibilities

• Participates in clinical interventions management with beneficiaries and providers, offering recommendations related to high-impact quality measures, including SUPD, SPC, COB, and/or polypharmacy measures (ACH and CNS).
• Identifies patients who are not adhering to medication therapy related to key quality measures to proactively improve adherence and impact Star Ratings.
• Performs clinical interventions for clients (beneficiaries, pharmacies, and physicians) related to medication use, where beneficiary adherence directly impacts Star Ratings.
• Participates in pharmacy or company-led initiatives that may impact Star Ratings, such as educational talks or clinical activities with beneficiaries or their physicians.
• Administers and documents clinical interventions in the Rx Effects and Aspect VIA tools, ensuring accurate tracking and compliance.
• Educates and supports patients so they can obtain their prescribed medications according to criteria established by the pharmacy department.
• Attends and manages the referral process within the system when beneficiaries need adherence-related medication refills or new prescriptions coordinated with physician offices.
• Must comply with all company policies and applicable laws and regulations.
• May carry out other duties as assigned.

Skills

Spanish – Advanced

English – Basic

Education

Associate’s degree in Pharmacy Technician

Job description

GENERAL DESCRIPTION

Oversees interventions and/or calls to clients (beneficiaries, providers, pharmacies) to promote the correct use of medications and follow the prescription to increase adherence in the identified population, which results in a significant impact on the star rating for the company. Participates in the management of clinical interventions with beneficiaries/providers, offering recommendations for the use of Statin Use in Persons with Diabetes (SUPD), Statin Use in Persons with Cardiovascular Disease (SPC), Concurrent Use of Opioids and Benzodiazepines (COB) and/or polypharmacy’s measures (Anticholinergic Burden (ACH) or Central Nervous System Active Medications (CNS)).

Regular

Non-Exempt

ESSENTIAL FUNCTIONS

• Participates in clinical interventions management with beneficiaries and providers, offering recommendations related to high-impact quality measures, including SUPD, SPC, COB, and/or polypharmacy’s measures (ACH and CNS).
• Identifies patients who are not adhering to medication therapy related to key quality measures (diabetes, hypertension, and cholesterol), to proactively improve adherence and positively impact the company’s Star Ratings.
• Performs clinical interventions for clients (beneficiaries, pharmacies, and physicians) related to medication use, where beneficiary adherence directly impacts Star Ratings.
• Participates in pharmacy or company-led initiatives that may impact Star Ratings, such as educational talks or clinical activities with beneficiaries or their physicians, aimed at improving medication adherence inside or outside the company.
• Administers and documents clinical interventions in the Rx Effects and Aspect VIA tools, ensuring accurate tracking and compliance.
• Educates and supports patients so they can obtain their prescribed medications according to clinical and administrative criteria established by the pharmacy department.
• Attends and manages the referral process within the system when beneficiaries need adherence-related medication refills through pharmacies or when members require new prescriptions coordinated with physician offices.
• Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices.
• May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document.

MINIMUM QUALIFICATIONS

Education and Experience: Associate’s degree in Pharmacy Technician. At least one (1) year of experience providing service in the community or institutional pharmacies (hospitals, diagnostic and treatment centers (CDT), nursing services facilities, or asylums).

Certifications / Licenses: A valid Pharmacy Technician License and Registration is required.

Other: Knowledge of ICD-10 clinical criteria and/or CPT procedure codes.

Languages

Spanish – Advanced (comprehensive, writing and verbal)

English – Basic (comprehensive, writing and verbal)

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