Pharmacy Technician Care Management
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Job Location:
Somerville, NJ - USA
Hourly Salary:
$ 19 - 28
Posted on:
10 days ago
Vacancies:
1 Vacancy
Job Summary
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
MGB is offering a generous $3000 sign-on bonus to welcome you to our team. Recognizing and valuing exceptional talent were eager to discuss the exciting details of this bonus during our interview process. Please note all eligibility will be reviewed before an offer is made.The Pharmacy Technician Specialist works under the direction of the Population Health Services Organization Clinical Pharmacy team and is responsible for ensuring timely medication access for patients enrolled in Care Management Programs to improve adherence to treatment recommendations and prevent gaps in necessary pharmacotherapy.
Principal Duties and Responsibilities:
Collaborate with the PHSO Pharmacy team and Care Management teams to provide pharmacy resources to patients supported in the Care Management programs.
Work with pharmacies and pharmacy benefit managers to support pharmacy benefits including resolving rejected claims due to coverage issues such as prior authorizations formulary status eligibility etc.
Assist with medication copay assistance programs including federal/state and other programs/resources
Support blister packaging workflows including coordination with pharmacies providers and care teams to facilitate medication synchronization packaging enrollment and ongoing maintenance of blister-packed regimens
Resolve insurance-related issues and assist patients with completing forms for financial assistance
Create and mail patient medication cards
Document notes in the electronic medical record and any other tracking documents.
Serve as a resource to the PHSO Pharmacy team for drug-related inquiries (formulary tier prior authorization cost share)
Stay current with industry trends and regulatory changes in the pharmacy industry particularly related to Pharmacy Benefit Management and incorporate knowledge into daily work
Handle confidential information in compliance with HIPAA guidelines
Carry out duties and responsibilities as assigned by PHSO Pharmacist(s)
Other Projects and Duties:
Provide a variety of administrative functions to support Care Management Programs
Participate in meetings as necessary
Analyze pharmacy utilization data
Participate in the development of educational materials for providers
Qualifications
Qualifications:
High school diploma or equivalent
Must be a registered Pharmacy Technician with the Massachusetts Board of Pharmacy and maintain Certified Pharmacy Technician (CPhT) certification through a nationally recognized organization
2 years of experience in a retail pharmacy setting with emphasis on resolving insurance issues
Knowledge of medical terminology abbreviations and basic drug knowledge required
Proficiency in Microsoft Office (Word Excel PowerPoint)
Must complete annual Continuing Education credits as required to maintain certification
Experience with Manufacturer Patient Assistance Programs preferred
Experience performing Medicare Part D analysis preferred
Additional Skills Abilities and Competencies:
Strong understanding of Pharmacy Benefit Manager (PBM) programs and ability to resolve rejected claims related to prior authorizations formulary status eligibility tier exceptions etc.
Flexibility to accommodate patients immediate needs
Strong initiative and self-motivation with minimal supervision
Familiarity with medical and scientific terminology
Excellent analytical skills to interpret member-level data and prepare summary reports
Strong verbal and written communication skills including ability to create presentation-ready materials
Excellent interpersonal skills
Strong organizational and time management skills
Ability to manage multiple tasks and workflows effectively
Ability to work collaboratively as an integral member of the pharmacy team
Additional Job Details (if applicable)
Scheduling and Work Model:
Full-time Monday through Friday standard business hours.
Remote with occasional in-office requirements at Assembly Row in Somerville MA.
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$19.81 - $28.30/HourlyGrade
4EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
IC
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
