Pharmacy Technician (Temporary, Remote - Southern California - OC, LA, RIV, SD Only)

About the position Alignment Health is revolutionizing health care for seniors by leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships, and our serving heart culture. As a Pharmacy Technician, you will perform various clinical pharmacy functions under the direct supervision of the VP of Pharmacy and the Pharmacy Manager. This role involves providing administrative and clerical support directly involved with the day-to-day operations of the multiple programs performed by the department. You will assist with the daily operations of the Pharmacy Department programs, participate in plan and regulatory agency audits, and make a high volume of outbound calls to members, prescribers, and pharmacies regarding the Adherence program. Your responsibilities will include assisting members in refilling their medications, drafting routine reports, and responding to inquiries related to formulary and prescription benefits. You will also interact with the Plan's contracted Pharmacy Benefit Manager (PBM) to resolve prescription issues and ensure compliance with CMS requirements. This position is essential in maintaining the quality of care that our members deserve and ensuring that all information is kept confidential according to HIPAA regulations. At Alignment, we believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced individuals who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community. We are committed to providing our employees with a culture that encourages sharing unique ideas and perspectives, fostering creativity and innovation. Continuous learning and growth are integral to our mission, and we support our employees in developing their skills and careers with us.

Responsibilities

• Assist with the daily operations of the various Pharmacy Department programs.

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• Make high volume outbound calls to members, prescribers, and pharmacies regarding the Adherence program.

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• Assist members in refilling their medications and reaching out to prescriber's offices for additional refills.

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• Draft routine reports and correspondence.

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• Support all CMS required oversight processes of PBM including rebates and Explanation of Benefit reports.

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• Respond to inquiries from physicians, members, and pharmacies related to formulary and prescription benefits.

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• Retrieve accurate and timely drug information.

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• Interact with Plan's contracted PBM to ensure effective communication and information sharing.

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• Resolve prescription issues such as Prior Authorizations and third-party rejections.

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• Work closely with the compliance department to ensure Pharmacy Programs meet CMS criteria.

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• Maintain confidentiality of HMO members' information according to HIPAA.

Requirements

• Pharmacy Technician license and/or certification preferred.

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• 1-3 years related experience, with a minimum of one year in generating healthcare pharmacy reports and analysis.

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• Basic computer skills (Microsoft Outlook, Excel, Word) and related/integrated systems.

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• Knowledge of Medicare/Managed Care Plans and/or PBM preferred.

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• Excellent verbal and phone communication skills (customer service).

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• Knowledge of pharmacy and medical nomenclature/terminology, common medication dosages, trade & generics, and medication therapy application.

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• Excellent organizational skills with the ability to maintain accurate records and collect data for statistical reporting.

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• Ability to multi-task with minimal direction and carry out instructions.

Nice-to-haves

• Bilingual in English/Spanish, English/Chinese (Mandarin), or English/Vietnamese strongly preferred.

Benefits

• Competitive hourly pay ranging from $20.00 to $24.30.

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• Opportunity for growth and career development within the company.

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• Supportive work culture that encourages sharing ideas and perspectives.

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