Pharmacy Technician - Clinical Services (MTM)

Company: Centene Corporation
Location: Hialeah
Posted on: March 14, 2023

Job Description:

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Supports the efforts of the clinical team through collaboration with prescribers and targeted beneficiaries in order to ensure appropriate, evidence-based drug selection and resolve medication-related problems.

Provides medication therapy management (MTM) services via triage of inbound calls to the MTM hotline, monitors fax line for prescriber responses and completion of failed faxes, supports the pharmacist for completion of Comprehensive Medication Reviews (CMRs) through pre-work up and case preparation, communicates with network pharmacies, prescribers, and beneficiaries to provide MTM services.

Documents and records services/activities in appropriate databases/software to ensure compliance with CMS requirements for clinical service offerings assigned in designated area.

Engages in drug utilization review (DUR) by supporting the execution of DUR initiatives via meeting preparation, letter campaigns, and telephonic outreach to members/providers.

Supports basic data analytic activities and tracking of interventions and assists with preparation and documentation of responses to regulatory audits associated with the over utilization program.

Education/Experience:

High School or GED required. 0-1 year of experience in pharmacy operations managed care, hospitals, and/or retail environments

Licenses and Certifications: Certified Pharmacy Technician (CPhT) Preferred

Highly preferred: Call center or experience with heavy call volume, Pharmacy Technician and/or medical field knowledge of prescription drugs (uses and doses).

This is a work from home telephonic call center position. The main function is outreach to our members to complete medication reviews.

Shifts and training: 11am - 8pm Monday - Friday (In your own time zone)

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Keywords: Centene Corporation, Hialeah , Pharmacy Technician - Clinical Services (MTM), Healthcare , Hialeah, Florida