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Clinical Pharmacy Technician - Clinical Pharmacists

Key Responsibilities
1. Medication Adherence & Quality Measures
  • Monitor and track patient adherence to medications tied to NCQA measures (e.g., statins, diabetes, hypertension)
  • Conduct outreach to patients to improve adherence and close care gaps
  • Document and support quality metric performance initiatives
2. Prior Authorization Support
  • Assist with prior authorizations during coverage gaps or high-volume periods
  • Ensure timely submission and follow-up with payers
  • Reduce delays in medication access and therapy initiation
3. Patient Assistance & Access Programs
  • Enroll and support patients in internal medication assistance programs (MAP) and manufacturer programs
  • Collect, verify, and maintain required documentation
  • Help reduce financial barriers to medication access
4. Internal Prescription Capture
  • Promote use of internal pharmacy services
  • Coordinate prescription transfers, refills, and medication synchronization
  • Address patient barriers related to cost, access, and convenience
5. Support of Clinical Pharmacist Services
  • Perform operational tasks to allow pharmacists to focus on:
  • Hypertension management
  • Diabetes/A1C optimization
  • High-risk patient interventions
  • Support initiatives tied to triple-weighted quality measures
6. Data Tracking & Reporting
  • Track and document:
  • Medication adherence metrics
  • Prior authorization outcomes
  • Patient assistance enrollment
  • Prescription capture rates
  • Assist in reporting for quality programs and performance improvement.
Qualifications:
Education
  • High school diploma or equivalent required
  • Pharmacy Technician Certification (CPhT or equivalent) required
Experience
  • Minimum 2 years of pharmacy technician experience preferred
  • Experience in one or more of the following strongly preferred:
  • Ambulatory care or clinical pharmacy
  • Specialty pharmacy
  • Medication assistance programs
  • Prior authorization workflows
Skills & Competencies
  • Strong understanding of medication adherence and chronic disease management
  • Knowledge of insurance processes, including Medicare Advantage and commercial plans
  • Excellent communication and patient engagement skills
  • Ability to manage multiple workflows and prioritize tasks
  • Detail-oriented with strong documentation skills

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