Consultative Pharmacy Technician

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The Consultative Pharmacy Technician 3 certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Consultative Pharmacy Technician 3 performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills.

The Consultative Pharmacy Technician 3 reports to a supervisor of Consultative Pharmacy and supports the interdisciplinary CIT team by helping resolve medication access barriers for primary care-managed medications.

This role assists with:

• Medication list reviews
• Formulary and cost-management needs,
• Patient Assistance Program applications,
• Low Income Subsidy screening and enrollment support,
• Medicare Prescription Payment Plan education,
• Pharmacy-related access issues,
• Manages referrals through established workflows,
• Conducts patient outreach
• Coordinates with clinics and providers
• Documents case activity
• follows program guidelines to support timely and appropriate medication access assistance.

• Know and continually review medication brand and generic names, medical terminology, and pharmaceutical calculations.
• Medication adherence outreach, auditing, documenting, and reporting as it pertains to STAR measures when applicable.
• Responsible for interacting with other departments to assist with member problems or questions and act as facilitator to resolve them regarding prior authorization or obtaining medications.
• Attend scheduled team meetings and provide relevant feedback regarding workflow issues.
• Receive and manage referrals submitted through the Internal Medication Access Program referral process.
• Responsible for initiating and following through with patient assistance programs, prior authorizations, formulary exceptions/alternatives, and tier reductions to help patients afford their medications.
• Provide role-appropriate assistance for pharmacy-related access issues (Medication packaging education, Pharmacy transfers, third party rejections and override assistance).
• Processing of select medication claim updates (lists) as requested by the clinical pharmacists or providers.
• Document outreach attempts, outcomes, and case status updates according to workflow requirements.

• Completion of an accredited Pharmacy Technician Program
• Active unrestricted State Pharmacy Technician License in your state of residence.
• PTCB Certified with Medication Therapy Management Certification
• Minimum three (3) more years of experience as a Pharmacy Technician
• Knowledge of the top 200 drugs
• Experience and/or ability to work with electronic health record system
• Prior Authorization experience
• Pharmacy Benefit Management experience

• Mail Order Pharmacy experience
• Bilingual in Spanish

Remote Work at Home

Nationwide

M-F 8:00-5:00 PM local time

None at this time

Work at Home Requirements:
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel:
While this is a remote position, occasional travel to Humana's offices for training or meetings…