PacificSource Health Plans Pharmacy Technician II (6-month temporary position) in Tigard, Oregon
Position Overview: Position will focus on addressing Part C and Part D STARs and Quality gaps directly affected by medication related drug therapy issues within the scope of the technician licensure and act as a liaison between members and health plan. Working directly with Medicare populations, who have been identified to benefit from a direct contact familiar with the formulary, and Part D benefits and measure specifications to promote adherence, statin use, utilization of mail order, member satisfaction with the drug plan and CMR completion rate. Must be able to assess other needs and providing a resource whenever possible while tracking and overcoming identified barriers. Candidate must have strong customer service and interpersonal skills to be able to quickly identify opportunity to build a working relationship with at-risk membership.
Live telephonic outreach to Medicare members addressing identified drug therapy problems.
Promote and assist Medicare members with mail order adoption (includes providing information, submitting necessary forms, prescriptions from providers, and working with CVS mail order team) to ensure seamless transition.
Provide refill coordination when appropriate and ability to maintain appropriate documentation.
Ability to prioritize and organize data in a reportable manner.
Excellent customer service and telephone skills.
Understanding of Medicare and Medicare Part D benefit structure.
Evaluate member current status from multiple resources and reporting platforms to coordinate and ensure all gaps are identified and addressed with one organized outreach attempt.
Support pharmacy clinical integration with provider partnerships.
Document new processes as needed and update existing documentation as improvements are made.
Generate and evaluate reports with compiled and analyzed reportable information on a regular basis.
Work with internal teams and individuals to provide additional resources as needed (i.e. Member Support Specialists, Transitions of Care, Pharmacists, and Quality).
Develop and maintain positive working relationships with Pharmacy Services staff and other employees based on open communication, interacting in a supportive capacity, and treating all with respect.
Meet department and company performance and attendance expectations.
Perform other duties as assigned.
Work Experience: 1 year customer service experience, 6 months pharmacy experience required. Knowledge of health insurance pharmacy claims preferred.
Education, Certificates, Licenses: High school degree or equivalent required. Pharmacy Technician Certification required. Active Oregon license in good standing required.
Knowledge: Microsoft Office software including Word and Excel, medical terminology, call tracking software, mainframe and medical management software. Ability to work under time pressure. Ability to prioritize responsibilities and to diplomatically handle demanding situations. Follow strict guidelines to ensure confidentiality is maintained at all times. Ability to work independently as well as within a team. Ability to work across business and system groups at all levels. Ability to compile and report out on relevant data.
Building Customer Loyalty
Building Strategic Work Relationships
Contributing to Team Success
Planning and Organizing
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for our customers’ experience.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our communities-internal and external.
We encourage creativity, innovation, continuous improvement, and the pursuit of excellence.
Environment:Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Physical Requirements: Stoop and bend.Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer:This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.
Hiring Pay Range$16.00-$18.00 per hour