Hybrid Pharmacy Technician (2 days in office)

Alignment Health • Orange, CA

10d • $41,472 - $62,208 • Hybrid

About The Position

The Pharmacy Technician performs department administrative functions that do not require the Pharmacy Managers judgment. Responsible for the administrative and clerical support directly involved with the day-to-day operations of the multiple programs performed by the department. Performs assigned tasks to meet AHP HMO and Pharmacy Department goals.

Requirements

• Minimum 1 year customer experience.
• High School Diploma or GED.
• Knowledge of pharmacy and medical nomenclature/terminology, common medication dosages, trade & generics, and medication therapy application.
• Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
• Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
• Ability to perform mathematical calculations and calculate simple statistics correctly
• Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
• Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
• Pharmacy Tech license

Nice To Haves

• Prior Pharmacy Tech experience in a healthcare setting.
• Associates Degree in Pharmacy Tech
• Pharmacy Tech school
• Bilingual - English/Spanish or English/Chinese
• Certified Pharmacy Technician

Responsibilities

• Assists with the daily operations of the various Pharmacy Department programs, multiple projects and participate in Plan and regulatory agency audits, as necessary.
• Makes high volume of outbound calls to members, prescribers, and pharmacies in regard to the Adherence program.
• Assists members in refilling their medications and reaching out to the prescriber’s office if a member requires additional refills on their maintenance medications.
• Drafts routine reports and correspondence.
• Supports all CMS required oversight processes of PBM including but not limited to: Rebates, Explanation of Benefit reports, Transition Reports, and Part B vs Part D.
• Responds to inquiries from physicians, members, and pharmacies related to formulary and prescription benefits.
• Retrieves accurate, concise, applicable, and timely drug information.
• Interacts with Plan's contracted PBM to ensure communications and information to other internal Plan departments as applicable.
• Interacts with Plan’s contracted PBM in regard to Prior Authorizations, Overrides and in resolving issues pertaining to member’s medications.
• Makes outbound calls to pharmacies and prescribers to resolve prescription issues such as medication requires Prior Authorization, assist retail/mail order pharmacies in resolving third party rejections, and reviewing daily rejections while ensuring we are CMS compliant.
• Interacts with internal plan departments to address pharmacy related issues.
• Works closely with compliance department to make sure Pharmacy Programs meet the criteria established by CMS.
• Ensures all HMO’s members information is kept confidential according to HIPAA.
• Other duties as assigned.

Benefits

• Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED