Pharmacy Technician

WellCare Health Plans, Inc. - Tampa, FL
Posted: September 14, 2019

Supports the efforts of the clinical team through collaboration with prescribers and targeted beneficiaries in order to ensure appropriate, evidence-based drug selection and resolve medication-related problems.

Essential Functions:

Engages in drug utilization review (DUR) by supporting the execution of DUR initiatives via meeting preparation, letter campaigns, and telephonic outreach to members/providers. Supports basic data analytic activities and tracking of interventions, and assists with preparation and documentation of responses to regulatory audits associated with the over utilization program.
Provides medication therapy management (MTM) services via triage of inbound calls to the MTM hotline, monitors fax line for prescriber responses and completion of failed faxes, supports the pharmacist for completion of Comprehensive Medication Reviews (CMRs) through pre-work up and case preparation, communicates with network pharmacies, prescribers, and beneficiaries to provide MTM services.
Engages in quality improvement projects including supporting the execution of prescriber mailings and tracking and maintaining physician and member responses regarding pharmacy quality outreach campaigns.
Documents and records services/activities in appropriate databases/software to ensure compliance with CMS requirements for clinical service offerings assigned in designated area (i.e. MTM services, Quality Improvement Projects, DUR, etc.).
Serve as backup for technicians in the other clinical service departments (Drug Utilization Review, Medication Therapy Management, and Quality Improvement).
Performs other duties as assigned.

Candidate Education:

Required          A High School or GED

Candidate Experience:

Required           1+ year of experience in pharmacy operations managed care, hospitals, and/or retail environments

Candidate Skills:

Intermediate       Demonstrated interpersonal/verbal communication skills
Beginner       Demonstrated written communication skills
Intermediate       Ability to effectively present information and respond to questions from peers and management

Licenses and Certifications: Preferred  

Technical Skills:

Preferred          Intermediate       Microsoft Excel
Preferred          Intermediate       Microsoft Outlook
Preferred          Intermediate       Microsoft Word
Preferred          Intermediate       Microsoft PowerPoint


Required          English
Preferred          Spanish


WellCare Health Plans, Inc.

WellCare Health Plans, Inc.

Tampa, FL

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