Pharmacy Technician Care Guide

LucyRx•Las Vegas, NV

13d•Remote

About The Position

The Pharmacy Technician Care Guide supports LucyRx’s clinical programs by managing medication-related tasks and assisting members in accessing lifestyle resources. This role focuses on seamless program coordination and member satisfaction. Support other clinical services as required.

Requirements

Certified Pharmacy Technician (CPhT) with active certification.
2+ years of experience in a retail pharmacy, PBM and/or other managed care organization
Proficiency in Microsoft Office Professional suite.
Project management skills.
Excellent organizational, written and verbal communication.
Familiarity with clinical programs, including weight loss.
Ability to adapt and perform duties efficiently whenever unexpected changes arise.

Nice To Haves

Bachelor of Arts or Science degree from accredited college
Solid understanding of PBM Operations including claims submission and processing, and familiarity with medications and their uses.
Knowledge of HIPAA regulations

Responsibilities

First level review of prior authorizations for GLP-1 therapies, ensuring accurate documentation.
Meet standard prior authorization turnaround times, quality standards, and regulatory requirements.
Follow up to ensure timely medication fills and renewals.
Educate members on clinical programs that optimize prescription coverage, co-pay assistance, and other reimbursement options.
Guide members through accessing lifestyle vendor programs, answering questions, and resolving concerns.
Serve as a liaison between members and vendors to ensure smooth transitions.
Maintain accurate records of member interactions and updates.
Generate regular reports on member engagement and program participation for the clinical team.
Understands the pharmacy benefit plans and accurately interprets the plan information.
Communicate with clinical reviewers on issues related to formulary, non-formulary criteria, or respective policies and procedures.
Ensure that all departmental goals (including, but not limited to turnaround times, production expectations, and quality metrics) are met.
Actively participate in internal quality improvement process enhancements.
Participate in clinical services team training and professional development opportunities.
Assists with clinical program operations as required according to business needs
Other duties as assigned.