Pharmacy Technician
Position Overview
This role supports the Pharmacy Department’s Medicare Part D Stars Program, with a focus on improving medication adherence. The Pharmacy Technician will work in a high-volume, call center environment, engaging directly with members, providers, and pharmacies to ensure patients receive and maintain their prescribed medications. This is a highly interactive, patient-focused role ideal for someone who enjoys frequent communication and problem-solving.
Key Responsibilities
- Support daily operations across Pharmacy Department programs, projects, and regulatory audit activities as needed
- Conduct high-volume outbound calls to members, prescribers, and pharmacies to support medication adherence initiatives
- Assist members with medication refills and coordinate with prescribers to secure additional refills when necessary
- Resolve prescription-related issues, including prior authorization requirements, third-party rejections, and pharmacy claim issues
- Collaborate with retail and mail-order pharmacies to troubleshoot and resolve medication access barriers
- Respond to inquiries from members, providers, and pharmacies regarding formulary and prescription benefits
- Retrieve and communicate accurate, timely drug information
- Partner with the Pharmacy Benefit Manager (PBM) to address prior authorizations, overrides, and member medication concerns
- Support CMS-required oversight processes, including rebates, Explanation of Benefits (EOB), transition reports, and Part B vs. Part D determinations
- Work cross-functionally with internal departments to resolve pharmacy-related issues
- Partner with the compliance team to ensure all pharmacy programs meet CMS guidelines
- Maintain strict confidentiality of member information in accordance with HIPAA regulations
- Prepare routine reports and documentation
- Perform additional duties as assigned
Required Qualifications
- Active Pharmacy Technician license
- Minimum 1 year of relevant experience (retail pharmacy or healthcare preferred)
- High school diploma or GED
Preferred Qualifications
- Certified Pharmacy Technician (CPhT)
- Experience in insurance, call center, customer service, or retail pharmacy environments
- Strong communication skills with a high level of comfort on the phone
Schedule
- Monday – Friday | 8:00 AM – 5:00 PM
- Onsite, then Hybrid after conversion
Compensation
- Pay range: $20 – $26/hour (based on experience)
Work Environment
- Call center setting with a high volume of outbound calls
- Hybrid schedule available after permanent hire
Pharmacy Technician – Adherence Program (Call Center / Hybrid)
Position Overview
This role supports the Pharmacy Department’s Medicare Part D Stars Program, with a focus on improving medication adherence. The Pharmacy Technician will work in a high-volume, call center environment, engaging directly with members, providers, and pharmacies to ensure patients receive and maintain their prescribed medications. This is a highly interactive, patient-focused role ideal for someone who enjoys frequent communication and problem-solving.
Key Responsibilities
- Support daily operations across Pharmacy Department programs, projects, and regulatory audit activities as needed
- Conduct high-volume outbound calls to members, prescribers, and pharmacies to support medication adherence initiatives
- Assist members with medication refills and coordinate with prescribers to secure additional refills when necessary
- Resolve prescription-related issues, including prior authorization requirements, third-party rejections, and pharmacy claim issues
- Collaborate with retail and mail-order pharmacies to troubleshoot and resolve medication access barriers
- Respond to inquiries from members, providers, and pharmacies regarding formulary and prescription benefits
- Retrieve and communicate accurate, timely drug information
- Partner with the Pharmacy Benefit Manager (PBM) to address prior authorizations, overrides, and member medication concerns
- Support CMS-required oversight processes, including rebates, Explanation of Benefits (EOB), transition reports, and Part B vs. Part D determinations
- Work cross-functionally with internal departments to resolve pharmacy-related issues
- Partner with the compliance team to ensure all pharmacy programs meet CMS guidelines
- Maintain strict confidentiality of member information in accordance with HIPAA regulations
- Prepare routine reports and documentation
- Perform additional duties as assigned
-
Required Qualifications
- Active Pharmacy Technician license
- Minimum 1 year of relevant experience (retail pharmacy or healthcare preferred)
- High school diploma or GED
-
Preferred Qualifications
- Experience in insurance, call center, customer service, or retail pharmacy environments
- Strong communication skills with a high level of comfort on the phone
-
Schedule
- Monday – Friday | 8:00 AM – 5:00 PM
-
Compensation
- Pay range: $20 – $26/hour (based on experience)
-
Work Environment
- Call center setting with a high volume of outbound calls
- Hybrid schedule available after permanent hire
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
*As a job position within our Allied division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: providing direct patient care, accessing medical and confidential records, accessing and administering prescription medication or other drugs, working within a clinical setting, handling sharp instruments, conducting medical procedures, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
