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Pharmacy Technician

Company: Gtech Services
Location: Southfield
Posted on: September 20, 2022

Job Description:

SUMMARY:This position is responsible for supporting clinical and operational processes for clinical pharmacy STAR measures within Medicare. This includes executing member, provider and pharmacy interventions to resolve any barriers preventing a member from becoming adherent to their medication regimen. This position will also be responsible for triaging calls to appropriate staff based on the complexity of the call. The Pharmacy Stars Specialist will interact with pharmacists, interns, pharmacy students and analysts to support current programs and assist in quality reviews to ensure continued process improvement.RESPONSIBILITIES/TASKS:* Monitor toll free call center, handle in-coming member, provider and pharmacy calls* Independently address and resolve adherence barriers at the member, provider or pharmacy; including documenting activity and outcome* Subject matter expert in all benefit designs and formularies to resolve issues real-time* Create branch-tree logic for resolving claims issues and member complaints* Document processes, create FAQ sheets and training materials for new hires* Effectively communicate to upper management calls that require escalation* Review peer processes through quality check* Develop reports to monitor objectives and program initiatives* Assist leadership by investigating challenges and issues to determine root cause and recommend innovative solutions to bring resolution* Assist in the research, analysis, identification, and evaluation of data from assigned problems to evaluate existing and potential trends and issues.* Assist in monitoring program initiatives, outcomes, and objectives to ensure goal attainment within defined parameters* Assist in development of plans, reports, papers, and creation of other documents to ensure process improvements and work efficiencies* Other duties as required.This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.EMPLOYMENT QUALIFICATIONS:EDUCATION OR EQUIVALENT EXPERIENCE:Associate''s degree required. Bachelor''s preferredActive unrestricted Pharmacy Technician License orPharmacy Technician Certification (PTCB) required.EXPERIENCE:* At least two (2) years'' experience in retail or hospital pharmacy preferred* Knowledge of prescription drug names and therapeutic classes* Experience with Medicare Part D prescription benefits is preferredSKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:* Strong customer service and phone skills.* Strong verbal and written communication skills to handle complex situations* Project management skills* High level of proficiency with Microsoft Office products* Strong ability to work independently, within a team environment, and communicate effectively with employees and clients at all levels.* Knowledge of pharmacy claims processing; working knowledge of Medicare Part D is preferred* Understanding of formularies and utilization management edits* Ability to effectively present process improvements, root cause analysis or solutions in one-on-one or small staff meetings* Ability to multi-task and shift priorities with ease to meet business needsCategory AnalystFunction Information TechnologyReq ID JN -082022-118500

Keywords: Gtech Services, Southfield , Pharmacy Technician, Professions , Southfield, Michigan

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