Pharmacy Tech, Population Health - Pharmacy - Southwestern Health Resources (SWHR)

Here’s What You Need

Education

• High School Diploma or Equivalent required.

Experience

• Require 3 years of experience in a Managed Care program experience, prior Population Health experience, OR other work experience which would provide an equivalent background.
• Prefer knowledge of and experience in CMS guidelines, processes, and programs such as Medicare.

Licenses & Certifications

• Certified Pharmacy Tech (CPhT) with active Registration with Texas State Board of Pharmacy upon hire required.

Skills & Abilities

• Customer service-oriented mindset, motivated problem solver and decision-maker.
• Must be highly organized and detail oriented.
• Strong verbal and written communications skills required.
• Thorough knowledge of CMS guidelines, processes and systems.
• Ability to handle multiple projects, heavy workloads, and tight deadlines.
• Must be able to learn and navigate proficiently within multiple computer systems to complete a case.
• Experience in EMR documentation.
• Experience with Windows-based software applications including Word, Excel, and MS Access.

What You Will Do

Position Responsibilities

The Population Health Pharmacy Technician provides support to the Pharmacy team on activities, projects and initiatives designed to promote appropriate, evidence-based medication utilization in a population health setting. Assists patients and our physician network by coordinating prescribed pharmacy care with the patient health care providers, payers, and other health related resources to ensure successful drug therapy outcomes. The activities may include verbal communications with patients, providers offices, and other healthcare practitioners based on the clinical program protocols and workflows. Collaboration with pharmacists, providers, payors, and healthcare staff to reduce treatment gaps and healthcare concerns improving value to patients is required with this position.

Position Functions

• Serve as an initial point of contact and facilitate timely and accurate preparation of referrals for pharmacists by independently obtaining medication history (i.e., drug, dose, route, frequency, indications), verification of eligibility, formulary and benefit information, and verification of allergies. Ensure all elements are appropriately captured and documented for review.

• Perform telephonic and written outreach to members and providers/pharmacies to address medication non-adherence, medication reconciliations, or other drug utilization activities to improve member and quality outcomes.

• Work collaboratively with internal teams including our clinical pharmacy team, Care Transformation team, and Quality teams on projects and ensure seamless communications occur both internally and externally as needed.

• Provide support to clinical pharmacy team related to administration of medication management programs including coordinating meetings with internal and external audiences, completing necessary intervention forms and documentations in all appropriate database(s). All appropriate documentation should be accurate and timely ensuring productivity and quality metrics are met.

• May on occasion be required to provide efficient and accurate Part B and possibly some Part D drug reviews including, but not limited to: Anti-VGEF, osteoporosis, visco supplementation, and specialty medications. These reviews may support payer preferred drug strategy. If necessary, communication and coordination of the review with the clinical pharmacist or medical director may be warranted.

• Provide support for special projects as assigned and ensure all assigned training/compliance activities are completed in specified timelines.

Why Southwestern Health Resources 

As a Southwestern Health Resources employee, you’ll enjoy, comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care spending account options; wellness programs to keep you and your family healthy; tuition reimbursement; a student loan repayment program; and more.

• Additional perks of being an SWHR employee:
• Gain a sense of accomplishment by contributing to a teamwork environment.
• Positively impact patients’ quality of life.
• Receive excellent mentorship, comprehensive training and dedicated clinical and administrative leadership resources.
• Enjoy opportunities for growth.

Explore Southwestern Health Resources Careers for more information and to search all career opportunities.

Our Recruitment team invites you to contact us with any questions at recruitment@texashealth.org

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