Remote Consultative Pharmacy Technician: Medication Access

CenterWell Primary Care; Charleston (SC); On-site; USD 45,000 - 60,000; Full time

Job summary

CenterWell Senior Primary Care is hiring a Consultative Pharmacy Technician 3 to intake calls from patients, pharmacies, and providers. You will support medication access with formulary management, patient assistance programs, and prior authorizations while coordinating with clinics and other departments.

The role requires a state-licensed pharmacy technician, PTCB certification, and 3+ years of experience, with emphasis on medication knowledge and EHR proficiency.

Qualifications

• Completion of an accredited Pharmacy Technician Program
• Active unrestricted State Pharmacy Technician License in your state of residence.
• PTCB Certified with Medication Therapy Management Certification
• Minimum three (3) years of experience as a Pharmacy Technician
• Knowledge of the top 200 drugs
• Experience and/or ability to work with electronic health record system
• Prior Authorization experience
• Pharmacy Benefit Management experience

Responsibilities

• Medication list reviews
• Formulary and cost-management needs
• Patient Assistance Program applications
• Low Income Subsidy screening and enrollment support
• Medicare Prescription Payment Plan education
• Pharmacy-related access issues
• Manages referrals through established workflows
• Conducts patient outreach
• Coordinates with clinics and providers
• Documents case activity
• Follows program guidelines to support timely and appropriate medication access assistance.
• Know and continually review medication brand and generic names, medical terminology, and pharmaceutical calculations.
• Medication adherence outreach, auditing, documenting, and reporting as it pertains to STAR measures when applicable.
• Interacting with other departments to assist with member problems or questions and act as facilitator to resolve them regarding prior authorization or obtaining medications.
• Attend scheduled team meetings and provide relevant feedback regarding workflow issues.
• Receive and manage referrals submitted through the Internal Medication Access Program referral process.
• Initiating and following through with patient assistance programs, prior authorizations, formulary exceptions/alternatives, and tier reductions to help patients afford their medications.
• Provide role-appropriate assistance for pharmacy-related access issues (Medication packaging education, Pharmacy transfers, third party rejections and override assistance).
• Processing of select medication claim updates (lists) as requested by the clinical pharmacists or providers.
• Document outreach attempts, outcomes, and case status updates according to workflow requirements.

Education

Completion of an accredited Pharmacy Technician Program

Active unrestricted State Pharmacy Technician License in your state of residence

PTCB Certified with Medication Therapy Management Certification

Minimum three (3) years of experience as a Pharmacy Technician

Knowledge of the top 200 drugs

Experience with electronic health record system

Prior Authorization experience

Pharmacy Benefit Management experience

Tools

Electronic health record system

Job description

CenterWell Senior Primary Care is hiring a Consultative Pharmacy Technician 3 to intake calls from patients, pharmacies, and providers. You will support medication access with formulary management, patient assistance programs, and prior authorizations while coordinating with clinics and other departments.

The role requires a state-licensed pharmacy technician, PTCB certification, and 3+ years of experience, with emphasis on medication knowledge and EHR proficiency.