M
Pharmacy Technician
MedStar Health
2 hours ago
Full-time
On-site
WALDORF/Maryland/US
About this Job:
General Summary of Position
The Pharmacy Technician works under the direction of the health plan pharmacists to facilitate the safe and effective use of medications by enrollees/members and their providers. The Pharmacy Technician prioritizes the needs of enrollees/members and develops and sustains collaborative professional relationships.
Primary Duties and Responsibilities
- Facilitates the accurate and timely processing of medication prior authorization requests.
- Communicates with patients, providers, and dispensing pharmacies to support medication-related requests and other departmental initiatives.
- Collects all pertinent information for Medical Reviewers (Medical Directors and pharmacists) to complete medication prior authorization clinical evaluation.
- Pharmacy Operations activities including Reviewing and finalizing monthly, quarterly, and annual PBM reports. Supports maintenance of PA metrics dashboard.
- Supports medication-related initiatives that align with strategic priorities with oversight from the Pharmacist. Activities may include but are not limited to outreaching to Enrollees/Members and Providers regarding HEDIS, EQRO or other quality measures.
- Completes required regulatory reports that the health plan submits to the regulators.
- Performs administrative tasks as requested by the departmental leadership.
- Participates in the ongoing development and expansion of pharmacy initiatives, programs and continuous process improvement activities. Develops standardized operating procedures and workflows.
- Supports case management and precertification team to facilitate overrides.
- Creates a pharmacy resource manual for the precertification team.
- Assists with website content management.
- Provides polypharmacy follow-up support for patients.
- Required to have availability to provide on-call coverage for pharmacy prior authorization requests received outside of normal business hours on a rotating basis.
- Acts as Subject Matter Expert to support interdepartmental projects.
Minimal Qualifications
Education
- High School Diploma or GED required
- Associate's degree preferred
Experience
- 1-2 years experience as a pharmacy technician in an outpatient dispensing pharmacy required
- Experience supporting quality improvement goals with focus on HEDIS preferred
- Previous experience with prior authorization review processes preferred
- Previous use or knowledge of Cerner or MedConnect preferred
- Health Literacy Training preferred
- Health Equity Training preferred
Licenses and Certifications
- LPT - Licensed Pharmacy Technician required upon hire