Pharmacy Technician - Remote (PA/NJ/DE)
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.
Under the direction of Pharmacy Manager, the pharmacy technician focuses on medication adherence by making telephonic outreach to members and providers to provide reminders and notifications. Pharmacy technician helps coordinate member care and makes referrals to team pharmacists and nurses.
Key Responsibilities:
- Collaborate with providers and members to identify patients at risk for non-adherence and support targeted outreach via telephonic outreach.
- Identifies barriers to medication adherence and address this with members and providers with goal of improving adherence.
- Facilitate communication with internal/external teams to resolve medication-related issues (e.g., formulary changes, prior authorizations, mail order, refill gaps).
- Track and report provider-specific adherence metrics and opportunities for improvement.
- Assist coordinating and gathering member information to facilitate discussion with pharmacist.
- Assist in coordinating medication therapy management (MTM) and transitions of care initiatives with providers.
- Make referrals to nurse health coaches to assist with member education, care coordination, and overall holistic medical management.
- Provide member education on pharmacy vendor solutions and resources.
- Maintain accurate documentation of provider interactions and interventions.
Qualifications:
- High school diploma or equivalent required; associate degree or higher preferred.
- Certified Pharmacy Technician (CPhT) credential required.
- Minimum 2 years of experience in a pharmacy or managed care setting; provider-facing experience preferred.
- Strong communication and relationship-building skills.
- Familiarity with payer systems, pharmacy benefit, claims data, and quality metrics.
- Proficiency in Microsoft Office and pharmacy documentation systems.
- Self-motivated, organized, detail oriented. Must be able to work in a collaborative environment and be self-directed.
Preferred Skills:
- Experience working with provider networks or clinical outreach teams.
- Experience working with Medicare population
- Knowledge of CMS Star Ratings, HEDIS, and other payer quality programs.
- Ability to interpret pharmacy claims and identify adherence gaps.
- Bilingual skills are a plus
Fully Remote:
This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence’s physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
Vaccination Update
This job requires that you demonstrate you have been fully vaccinated for COVID-19 prior to the start of employment, to the extent permitted by law.
About Our Company
AmeriHealth Casualty has been successfully returning employees to work since 1994, providing quality medical treatment and care and reducing costs for our customers. With our affiliates, we serve more than 1,800 businesses in the area and have offices in Philadelphia, Camp Hill, and Pittsburgh, PA, and Mount Laurel, NJ.
In 1994, CompServices, Inc. began offering workers’ compensation third-party administration services for manufacturers, municipalities, health care facilities, social services, transportation risk, universities, and retail firms. In 1996, AmeriHealth Casualty Insurance Company was established as an extension of our workers’ compensation claims services — its mission to provide workers’ compensation insurance combined with high quality claims service and cost containment.
AmeriHealth Casualty Insurance Company and CompServices write premiums and administer self-insured programs for over 1,800 customers.
Equal Employment Opportunity
AmeriHealth Casualty is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an AmeriHealth Casualty employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of AmeriHealth Casualty and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by AmeriHealth Casualty or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.