Tecnico(a) de Farmacia / STAR

Mcs-Healthcare-Holdings,-LLC; San Juan (PR); On-site; USD 32,000 - 42,000; Full time

Job summary

MCS Health seeks a Pharmacy Technician to manage and document interventions that improve medication adherence and optimize star ratings. The role focuses on collaborations with beneficiaries, providers, and pharmacies to ensure proper medication use and timely refills.

Requirements include an Associate’s degree, a valid Pharmacy Technician license, and knowledge of ICD-10/CPT codes. Spanish Advanced and English Basic language skills are expected.

Qualifications

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

Responsibilities

• Participates in clinical interventions management with beneficiaries and providers, offering recommendations on quality measures (SUPD, SPC, COB, ACH/CNS).
• Identifies patients not adhering to medication therapy to proactively improve adherence and star ratings.
• Performs clinical interventions for clients (beneficiaries, pharmacies, physicians) related to medication use.
• Educates and supports patients to obtain prescribed medications per pharmacy policies.
• Manages referral process for adherence-related refills and new prescriptions with physician offices.
• Documents interventions in Rx Effects and Aspect VIA tools with accuracy.
• Ensures compliance with company policies and applicable laws.
• May perform other duties as assigned.

Education

Associate’s degree in Pharmacy Technician

Job 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)).

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.

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)

“We are an Equal Employment Opportunity Employer and take Aff́irmative Action to recruit Protected Veterans and Individuals with Disabilities.”

MCS Healthcare Holdings, LLC. (MCS)is an Equal Employment Opportunity Employer and take Aff́irmative Action to recruit Protected Veterans and Individuals with Disabilities. MCS is a participating E-Verify employer.