pharmacy data entry specialist

WESTMINSTER SENIOR CARE PHARMACY

<div>
 Longevity Scripts is seeking to fill a Pharmacy Data Entry Technician in its Pharmacy located in Orlando, Florida. This position is responsible for receiving, accurately transcribing and entering prescriptions into our entering into our pharmacy system with both speed and accuracy. The schedule for this position is 11:30am-8:00pm with rotating weekends.
 <br/>
 <br/>
 EOE/DFWP - We honor those who serve.
 <br/>
 <br/>
 <strong>
  Essential Job Functions
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Responsible for entering specific orders, patient data, allergies, and drug interactions into the pharmacy system in an accurate and timely manner.
  </li>
  <li>
   Responsible for research, follow up, troubleshooting, as pertaining to prescription/patient data entry discrepancies.
  </li>
  <li>
   Resolve any discrepancies in orders with the customer including but not limited to illegible prescriptions, or other potential medication concerns.
  </li>
  <li>
   Responsible for preparing backup orders and directly assisting our customers.
  </li>
  <li>
   The Pharmacy data entry technician works under the supervision of a licensed pharmacist.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Frameworks experience required
  </li>
  <li>
   Current State Pharmacy Technician license and certification.
  </li>
  <li>
   High School Diploma or equivalent GED.
  </li>
  <li>
   Comprehensive understanding of Brand vs. Generic medications required.
  </li>
  <li>
   Comprehensive knowledge of Drug Classes and Medication Classification required.
  </li>
  <li>
   Understanding of Medical Terminology required.
  </li>
  <li>
   Math skills with an emphasis on calculations as well as analytical skills required.
  </li>
  <li>
   Comprehensive computer knowledge and skills required.
  </li>
  <li>
   Ability to work independently, accurately, and efficiently.
   <br/>
   <br/>
  </li>
 </ul>
 Applicants can learn more about Florida background screening requirements at https://info.flclearinghouse.com/
 <br/>
 <br/>
 <strong>
  Experience Required
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   1 - 3 years: Long Term Care Pharmacy Prescription Entry experience required.
   <br/>
   <br/>
  </li>
 </ul>
 Education Required
 <br/>
 <br/>
 <ul>
  <li>
   High School or better
   <br/>
   <br/>
  </li>
 </ul>
 Licenses &amp; Certifications Required
 <br/>
 <br/>
 <ul>
  <li>
   Registered Pharmacy Tech
   <br/>
   <br/>
  </li>
 </ul>
 Equal Opportunity Employer
 <br/>
 <br/>
 This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
</div>


Pharmacy Data Entry Technician

Delta Care Rx

<div>
 <ul>
  <li>
   You must live in Pennsylvania in order to be considered*
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Schedule
  <br/>
  <br/>
 </strong>
 <em>
  7 days on, 7 days off
  <br/>
  <br/>
 </em>
 <ul>
  <li>
   Thursday: 8:00pm &ndash; 8:30am ET
  </li>
  <li>
   Friday: 8:00pm &ndash; 9:00am ET
  </li>
  <li>
   Saturday: 8:00pm &ndash; 9:00am ET
  </li>
  <li>
   Sunday: 8:00pm &ndash; 8:30am ET
  </li>
  <li>
   Monday: 10:00pm &ndash; 8:30am ET
  </li>
  <li>
   Tuesday: 11:00pm &ndash; 8:30am ET
  </li>
  <li>
   Wednesday: 11:00pm &ndash; 8:30am ET
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Essential Functions
  <br/>
  <br/>
 </strong>
 <em>
  <strong>
   Note:
  </strong>
  The essential duties and primary accountabilities below are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Incumbents may perform all or most of the primary accountabilities listed below. Specific tasks, responsibilities or competencies may be documented in the incumbent&rsquo;s performance objectives as outlined by the incumbent&rsquo;s immediate supervisor or manager.
  <br/>
  <br/>
 </em>
 <ul>
  <li>
   Accurately perform prescription data entry in accordance with company policies, IPU standards, and regulatory requirements, ensuring timely and precise updates to patient records.
  </li>
  <li>
   Demonstrate proficiency with pharmacy systems and Microsoft-based applications - including Docuware, Outlook, Excel, Word, Teams, Zetafax, and Infinity, using these tools to support prescription management and communication.
  </li>
  <li>
   Review and process faxed medication orders, efficiently verifying and clarifying information with hospices as needed, and thoroughly documenting all interactions.
  </li>
  <li>
   Maintain in-depth knowledge of brand and generic drug names, formulary guidelines, and IPU-specific medication profiling standards to ensure accuracy in MARs and patient profiles.
  </li>
  <li>
   Perform daily activities while meeting established IPU goals, maintaining profile accuracy, call quality, and compliance with all operational standards.
  </li>
  <li>
   Provide support for Automated Dispensing System (ADS) troubleshooting and after-hours protocols, including customer service, E3 support, Vitas E3 support, and PCO-related urgent processing.
  </li>
  <li>
   Maintain detailed call logs and documentation for every client, prescriber, and hospice interaction, ensuring accountability and traceability.
  </li>
  <li>
   Assist local pharmacies with adjudication of claims for emergent medications, escalating urgent requests appropriately and following compliance requirements.
  </li>
  <li>
   Support compliance initiatives and ADS-related reporting, tracking, and trending activities to ensure adherence to internal policies and regulatory standards.
  </li>
  <li>
   Collaborate with internal and external stakeholders to resolve prescription-related issues and continuously improve IPU processes.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Marginal Or Additional Functions
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Perform other duties as assigned, demonstrating flexibility and the ability to prioritize tasks to meet organizational needs.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Supervisory and Managerial Responsibility
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   This position does not include supervisory or managerial responsibilities.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Knowledge, Skills &amp; Abilities
  <br/>
  <br/>
 </strong>
 Education, Licensure or Certification:
 <br/>
 <br/>
 <ul>
  <li>
   High school diploma or equivalent
  </li>
  <li>
   CPhT preferred
  </li>
  <li>
   Pharmacy Technicians residing in Pennsylvania must be registered with PA Board of Pharmacy or obtain registration prior to internal deadline.
   <br/>
   <br/>
  </li>
 </ul>
 Work Experience or Related Experience
 <br/>
 <br/>
 <ul>
  <li>
   One (1) year of pharmacy technician data entry experience (2 years preferred)
  </li>
  <li>
   Has good knowledge of brand and generic drug names
  </li>
  <li>
   Familiarity with drug formularies
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Specialized Knowledge, Skills &amp; Abilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Ability to work independently and accurately in a fast-paced environment
  </li>
  <li>
   Must be able to comprehend documents received via fax
  </li>
  <li>
   Excellent communication skills, both verbally and in writing
  </li>
  <li>
   Ability to manage multiple priorities efficiently with attention to detail
  </li>
  <li>
   Excellent problem-solving and critical thinking skills
  </li>
  <li>
   Ability to oversee workflow effectively in remote sites
  </li>
  <li>
   Accurate and efficient typing/data-entry skills
  </li>
  <li>
   Proficiency with pharmacy-based systems for prescription data entry, Windows-based applications, and Microsoft Office Suite
  </li>
  <li>
   Self-motivated with a strong work ethic and professional integrity
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Travel Requirements And Conditions
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   No travel is required.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Work Environment, Conditions and Demands
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Must have the ability to provide a high-speed DSL or cable internet connection for a home office.
  </li>
  <li>
   A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information is required.
  </li>
  <li>
   Schedule flexibility in work hours is required.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Physical Requirements And Demands
  <br/>
  <br/>
 </strong>
 <em>
  <strong>
   Note:
  </strong>
  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.
  <br/>
  <br/>
 </em>
 <ul>
  <li>
   May sit, stand, stoop, bend, and walk intermittently during the work shift.
  </li>
  <li>
   May sit or stand seven (7) to ten (10) hours per shift. May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required.
  </li>
  <li>
   May need to lift up to twenty-five (25) pounds on occasion.
  </li>
  <li>
   Visual acuity to see and read fine prints. Specific vision abilities required by this role include close vision, color vision and the ability to adjust focus.
  </li>
  <li>
   Must be able to hear normal sounds.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Additional Position Information
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   No additional information is applicable.
  </li>
 </ul>
</div>


Consultative Pharmacy Technician 3 (After-Hours) - Remote, PA

Dragonfly Health

<div><p><b>*You must live in Pennsylvania in order to be considered*</b></p>
<p><b>
Schedule:</b></p><br>
<p><i>
7 days on, 7 days off</i></p>
<ul>
<li>Thursday: 8:00pm &ndash; 8:30am ET</li>
<li>Friday: 8:00pm &ndash; 9:00am ET</li>
<li>Saturday: 8:00pm &ndash; 9:00am ET</li>
<li>Sunday: 8:00pm &ndash; 8:30am ET</li>
<li>Monday: 10:00pm &ndash; 8:30am ET</li>
<li>Tuesday: 11:00pm &ndash; 8:30am ET</li>
<li>Wednesday: 11:00pm &ndash; 8:30am ET</li>
</ul>
<p><b>Essential Functions</b><br>
<b><i>Note:</i></b><i> The essential duties and primary accountabilities below are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Incumbents may perform all or most of the primary accountabilities listed below. Specific tasks, responsibilities or competencies may be documented in the incumbent&rsquo;s performance objectives as outlined by the incumbent&rsquo;s immediate supervisor or manager.</i><br>
<br>
1. Accurately perform prescription data entry in accordance with company policies, IPU standards, and regulatory requirements, ensuring timely and precise updates to patient records.<br>
2. Demonstrate proficiency with pharmacy systems and Microsoft-based applications - including Docuware, Outlook, Excel, Word, Teams, Zetafax, and Infinity, using these tools to support prescription management and communication.<br>
3. Review and process faxed medication orders, efficiently verifying and clarifying information with hospices as needed, and thoroughly documenting all interactions.<br>
4. Maintain in-depth knowledge of brand and generic drug names, formulary guidelines, and IPU-specific medication profiling standards to ensure accuracy in MARs and patient profiles.<br>
5. Perform daily activities while meeting established IPU goals, maintaining profile accuracy, call quality, and compliance with all operational standards.<br>
6. Provide support for Automated Dispensing System (ADS) troubleshooting and after-hours protocols, including customer service, E3 support, Vitas E3 support, and PCO-related urgent processing.<br>
7. Maintain detailed call logs and documentation for every client, prescriber, and hospice interaction, ensuring accountability and traceability.<br>
8. Assist local pharmacies with adjudication of claims for emergent medications, escalating urgent requests appropriately and following compliance requirements.<br>
9. Support compliance initiatives and ADS-related reporting, tracking, and trending activities to ensure adherence to internal policies and regulatory standards.<br>
10. Collaborate with internal and external stakeholders to resolve prescription-related issues and continuously improve IPU processes.</p>
<p><b>
Marginal or Additional Functions</b><br>
<br>
1. Perform other duties as assigned, demonstrating flexibility and the ability to prioritize tasks to meet organizational needs.</p>
<div><b>
Supervisory and Managerial Responsibility</b><br>
<br>
<ul><li>This position does not include supervisory or managerial responsibilities.</li></ul></div>
<p><b>
Knowledge, Skills &amp; Abilities</b><br>
<br>
Education, Licensure or Certification:</p>
<ul><li>High school diploma or equivalent</li><li>CPhT preferred</li><li>Pharmacy Technicians residing in Pennsylvania must be registered with PA Board of Pharmacy or obtain registration prior to internal deadline.</li></ul><br>
Work Experience or Related Experience
<ul><li>One (1) year of pharmacy technician data entry experience (2 years preferred)</li><li>Has good knowledge of brand and generic drug names</li><li>Familiarity with drug formularies</li></ul>
<p>
Specialized Knowledge, Skills &amp; Abilities</p>
<ul><li>Ability to work independently and accurately in a fast-paced environment</li><li>Must be able to comprehend documents received via fax</li><li>Excellent communication skills, both verbally and in writing</li><li>Ability to manage multiple priorities efficiently with attention to detail</li><li>Excellent problem-solving and critical thinking skills</li><li>Ability to oversee workflow effectively in remote sites</li><li>Accurate and efficient typing/data-entry skills</li><li>Proficiency with pharmacy-based systems for prescription data entry, Windows-based applications, and Microsoft Office Suite</li><li>Self-motivated with a strong work ethic and professional integrity</li></ul>
<p><b>
Travel Requirements and Conditions</b></p>
<ul><li>No travel is required.</li></ul>
<div><b>
Work Environment, Conditions and Demands</b><br>
<br>
<ul><li>Must have the ability to provide a high-speed DSL or cable internet connection for a home office.
</li><li>A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information is required.
</li><li>Schedule flexibility in work hours is required.</li></ul></div>
<div><b>
Physical Requirements and Demands</b><br>
<b><i>Note:</i></b><i> Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.</i><br>
<br>
<ul><li>May sit, stand, stoop, bend, and walk intermittently during the work shift.
</li><li>May sit or stand seven (7) to ten (10) hours per shift. May be necessary to work extended hours as needed. Finger dexterity to operate office equipment required.
</li><li>May need to lift up to twenty-five (25) pounds on occasion.
</li><li>Visual acuity to see and read fine prints. Specific vision abilities required by this role include close vision, color vision and the ability to adjust focus.
</li><li>Must be able to hear normal sounds.</li></ul></div>
<p><b>
Additional Position Information</b></p>
<ul><li>No additional information is applicable.</li></ul></div>

Specialty Rx, Inc.

<div><div><b>Build Your Career with Us! Competitive Pay | Stable Schedule| Career Growth</b><br>
<br>
<b>We offer, On-site, Hybrid and Remote for this role, Remote Candidates must be in OH, KY or VA.</b><br>
</div><div><b>
Our Company:</b><br>
SpecialtyRx is a Long-Term Care pharmacy providing pharmaceutical services to long term care facilities and assisted living communities. SpecialtyRx takes pride in delivering personalized care and quality pharmacy services.<br>
</div><div><b>
Responsibilities:</b></div><ul><li>
Perform duties assigned by the Data Entry Manager.</li><li>
Answer phones and respond to orders, re-orders, and general customer inquiries.</li><li>
Handle and resolve client complaints and inquiries in a timely manner.</li><li>
Triage incoming faxes by facility/department in accordance with cutoff times.</li><li>
Clarify orders as needed.</li></ul><div>
</div><div><b>
Qualifications:</b></div><ul><li>
Active Ohio Board of Pharmacy Technician License (required).</li><li>
Previous pharmacy experience.</li><li>
Long-Term Care (LTC) pharmacy experience preferred.</li><li>
Knowledge of brand-name and generic medications.</li><li>
Strong attention to detail and organizational skills.</li><li>
Moderate to advanced computer skills required.</li><li>
Excellent telephone etiquette.</li><li>
Frameworks / ECM system knowledge a plus.</li><li>
High School diploma or equivalent.</li><li>
Ability to train on first shift 8am-4:30pm.</li><li>
Ability to sit for prolonged periods of time.</li></ul><div>
</div><div><b>
Schedule:</b></div><ul><li>
Monday&ndash;Friday and every other weekend</li><li>
Available shift:</li><li>
5pm&ndash;1:30am</li><li>
6pm-2:30am</li><li>
10pm-6:30am</li></ul><div>
</div><div><b>
What We Offer:</b></div><ul><li>
Competitive hourly pay (based on experience).</li><li>
Consistent schedules (day, evening, overnight, and weekend shifts available).</li><li>
Health, dental, and vision insurance.</li><li>
Group Life Insurance and Short-Term Disability.</li><li>
Paid time off and paid holidays.</li><li>
401(k) with company match.</li><li>
Paid training and registration support.</li><li>
Advancement opportunities (Senior Technician, Lead roles, IV training, Data Entry training).</li></ul><div>
</div><div><b>
EEO Statement:</b><br>
SpecialtyRx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.<br>
EO/Minorities/Females/Disabled/Veterans.</div><br>
<b>
About SpecialtyRx:</b><p><br>
SpecialtyRx is proud to be a beacon for inclusion, collaboration and diversity. Everyone cares in the same language, and we draw from each community to be for each community. Interested in becoming part of our dynamic team? We&rsquo;d love to hear from you.</p></div>

Registered Pharmacy Technician - Data Entry

HealthDirect Pharmacy Services

<div>Overview:
<div><b>
Scope of Responsibilities: </b>Works remotely under supervision of the Manager of Central Services and Implementation. Follows standard procedures to accomplish assigned tasks. Work within multiple HealthDirect facilities as directed by Manager. Has ability to communicate professionally via phone, email, and Teams.</div><div><br>
</div><div><b>Job Summary:</b> Responsible for all aspects related to entering the medication orders for various facilities.
</div><div>Ensuring that all Third-Party claims are billed properly. Assist fellow technicians with training and daily functions</div>
Responsibilities:
<ul><li>Responsible for accurate data entry of patient profiles and medications</li><li>
Responsible for all aspects related to entering medication orders for various facilities</li><li>
Maintaining accurate information for patients and facilities</li><li>
Responsible for billing and crediting each facility appropriately and accurately each month</li><li>
Assist in new home setup and implementation across the region
</li><li>Assist in orienting and training new employees</li><li>
Work with the billing department to oversee the completion of individuals unbilled reports</li><li>
Assign daily unbilled reports</li><li>
Maintain and demonstrate top tier data entry production as determined by Manager</li><li>
Helps in managing outside services that have an impact on HealthDirect customer service (ex. INFINX, SDS)</li><li>
Responsible for completing all mandatory and regulatory training programs</li><li>
Perform other duties as assigned</li></ul>
Qualifications:
<div><b>
Educational Requirements:</b></div><div>
Minimum:
</div><ul><li>High School Diploma or GED</li><li>
AS Degree or Higher in Business Administration or related field</li></ul><div></div><div><b><br>
Experience:
</b></div><ul><li>2 years&rsquo; experience as a Long-Term Care Pharmacy Order Entry Technician required</li><li>
Previously demonstrated top 5% data entry performance metrics</li></ul><div><b><br>
</b></div><div><b>Required </b>(Vermont Employees):</div><ul><li>
Registered with the State of Vermont as a Pharmacy Technician</li></ul><div></div><div><b><br>
Job Skill Requirements:
</b></div><ul><li>Proficient with multiple remote technology (<b>Framework LTC, QS1, ECM, Docutrack, Teams</b>)</li><li>
Strong communication skills
</li><li>Outstanding customer service skills</li><li>
Ability to work independently
</li><li>Excellent organizational skills</li><li>
Ability to multitask and prioritize
</li><li>Broad knowledge of medications and physician orders</li><li>
General computer and keyboarding skills</li><li>
Strong leadership skills</li></ul><div></div><div><b><br>
Special Conditions of Employment:</b></div><ul><li>
Drug test</li><li>
Initial and continuous exclusion and sanction/disciplinary monitoring</li><li>
A verifiable, private, and quiet in-home workspace is required to ensure HIPAA compliance and to handle phone calls without interruption.</li><li>
Demonstrate ability to hit and maintain key productivity measures as determined by Regional Manager of Operations</li></ul></div>

Central Services Order Entry Technician (Remote)

Montage Health

<div><div>Welcome to Montage Health&rsquo;s application process!</div><div>
Job Description:</div><div>
The Clinical Pharmacy Specialist will perform duties in the following areas across all lines of business, including Utilization Management, Formulary Support, Appeals and Grievances, and Audit and Reporting Support to support the pharmacy team.</div><div></div><div>
This position will perform duties reviewing coverage for medications under the pharmacy and medical benefits for all lines of business necessary. The Clinical Pharmacy Specialist utilizes established company guidelines to review requests from physicians, medical groups, pharmacies, and members for the utilization of prescription drugs and pharmacy benefits. The specialist will conduct, research, and resolve any inquiries, problems, or issues in a timely manner.</div><div></div><div>
The Clinical Pharmacy Specialist is responsible for supervising and directing the support services needed for pharmacy services across all lines of business. This team member will continuously look for ways to improve processes and contribute to corporate and department objectives by processing all requests in a prompt, professional and courteous manner.</div><div></div><div>
Responsibilities</div><div>
Utilization Management: Prior Authorization for Medical and Pharmacy Benefit (Medicare Part B and Part D; Commercial Plans)</div><ul><li>
Input, review and decision Medicare Part B requests for J codes, Q codes, and other medical benefits drugs/supplies.</li><li>
Track and triage coverage determinations and/or prior authorization requests submitted from providers and determine if a pharmacist review is required.</li><li>
Monitor prior authorization system to ensure turnaround times are met and contact providers for additional information to facilitate coverage determination reviews.</li><li>
Refer coverage determination requests for specialty drugs to a delegated vendor or client for processing when applicable.</li><li>
Communicate prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.</li><li>
Notify physicians, providers, and members of coverage determination request decisions.</li><li>
Oversight and preparation of correspondence, proposals, reports, spreadsheets, and forms.</li><li>
Assist in maintaining policies &amp; procedures, including editing, proofreading.</li><li>
Provide project management assistance to pharmacist and team as needed.</li><li>
Support member and provider calls regarding authorization, benefit inquiries, and resolution of pharmacy-related member questions as well as outbound customer service calls to members and delegated partners.</li><li>
Coordination and completion of intake/processing for pharmacy and medical authorization and appeal requests. Perform preliminary review for completeness and appropriate documentation. Triage and escalate to the appropriate clinical resource when needed.</li><li>
Utilize knowledge of member eligibility and benefit coverage information to respond accurately to authorization requests, which do not require review/consultation by a pharmacist.</li><li>
Support the pharmacist or Pharmacy Director with quality and STARS related measures, including outreach to members, providers, and pharmacies.</li></ul><div></div><div>
Formulary Support</div><ul><li>
Assist the Director in maintenance of the formulary and processing formulary change requests on a weekly basis.</li><li>
Support team in generating, maintaining, and reviewing Formulary Status Grids.</li><li>
Assist pharmacist in audits and quality checks on the current formulary status for accuracy and contract compliance.</li></ul><div></div><div>
Appeals and Grievances</div><ul><li>
Responsible for intake/entry and investigation/resolution of all prescription-related grievances received by the Plan or PBM</li><li>
Identify validity of appeal and send request to correct department as appropriate.</li><li>
Other appeal tasks as required.</li></ul><div></div><div>
Audit and Reporting Support</div><ul><li>
Assist pharmacist in a range of tasks necessary for pharmacy audit and recovery functions, including:<ul><li>
Perform audits and quality checks on active prior authorizations claims.</li><li>
Review paid claims for quantity and/or billing discrepancies.</li><li>
Investigate member complaints and documentation of findings according to Fraud Waste and Abuse (FWA) program.</li></ul></li><li>
Support pharmacist in monitoring delegated PBM functions through generation of reports and the review of reports such as daily rejected claims, in depth monthly review of approved and rejected claims, monthly review of posted/published formulary, monthly review of redeterminations and prescription related grievances, and Coverage Gap Discount discrepancy reports.</li><li>
Communicate or fax inquiries to pharmacies related to review findings and updates pharmacy database with incoming phone calls, faxes, and e-mails.</li><li>
Responsible for the maintenance of consistent processes and updating of policies and procedures and standard operating procedures as assigned.</li><li>
Assist pharmacist with department preparation for internal and external audits (building case files, universes, evidence of compliance and other documentation as needed)</li><li>
Medicare Part D Operations, including:<ul><li>
Assist with identifying and correcting eligibility and group issues.</li><li>
Process member claims and pharmacy claims.</li><li>
Review and process Medicare Advantage Prescription Drug Event (PDE) data, such as:<ul><li>
Identification of errors with member eligibility, Low Income Subsidy Cost Sharing, as well as processing Institutional, ESRD and Hospice prescription drug claims.</li><li>
Monitor and report prescription drug metrics, including but not limited to, review of B versus D drugs, appropriate Copay and Deductible calculation, and corrective actions for informational and rejected PDE claims.</li></ul></li></ul></li></ul><div></div><div>
Other Responsibilities</div><ul><li>
Serve as a training resource for other team members and identifies and shares best practices.</li><li>
Provide administrative support to the Pharmacy Director for Committees chaired by Chief Medical Officer.</li><li>
Assist with pharmacy matters across all lines of business.</li><li>
Develop professional relationships with physicians, physician&rsquo;s office staff, medical management staff and/or pharmacists.</li><li>
Demonstrate understanding and accurate interpretation to support compliance with regulatory standards, e.g. Medicare Advantage and HIPAA.</li><li>
Prioritize and plan work for completion in a timely manner, coordinating with others as needed, and meeting deadlines set for all phases of work.</li><li>
Maintain a high level of professionalism, safeguarding and preserving the confidentiality of all information in accordance with HIPAA regulations.</li><li>
Demonstrate the ability to adapt to changes in the workload and responsibilities.</li><li>
Perform other activities and functions related to pharmacy or UM as delegated by the pharmacist or Pharmacy Director to evolve with business needs.</li></ul><div></div><div>
Experience</div><ul><li>
Problem Solving and Decision Making: Identifies, analyzes, organizes, and solves problems and issues in a timely, effective manner; uses data and input from others to make sound, timely decisions even in the face of uncertainty.</li><li>
Integrity: Consistently honors commitments and takes responsibility for actions and words.</li><li>
Flexibility: Demonstrates adaptability and openness to alternative solutions and flexibility when interacting with others, understanding their attitudes, needs, interests, and perspectives.</li><li>
Inclusiveness: The ability to network and partner with all internal and external stakeholders including broad and diverse representation of private/public and traditional/non-traditional community organizations.</li><li>
At least three years of experience in a health plan or PBM performing prior authorization for drugs, particularly Medicare Part B and Part D.</li><li>
Attention to details in obtaining complete and accurate information.</li><li>
Ability to key data accurately and efficiently.</li><li>
Ability to communicate effectively, including written and verbal communication skills.</li><li>
Bilingual in English and Spanish preferred.</li><li>
Business English and/or technical vocabulary related to health care industry (insurance/medical terminology).</li><li>
Basic knowledge of medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-10, CMS 1500, etc.).</li><li>
Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.</li><li>
Excellent phone manner and ability to handle multiple phone lines.</li><li>
Ability to identify and trouble-shoot problematic issues independently.</li><li>
Ability to follow clinical criteria and instructions to approve prior authorization requests.</li><li>
Must be able to meet established deadlines.</li></ul><div></div><div>
Education</div><div>
Minimum A.A. degree</div><div></div><div>
Licensure/Certifications</div><div>
License/Certification: Active Pharmacy Technician License required.</div><div></div><div>
Pay Rate: $30 per hour</div><div></div><div>
Equal Opportunity Employer</div><div></div><div>
Assigned Work Hours:</div><div>
Full time (remote)</div><div></div><div>
Position Type:</div>
Regular</div><div></div>

Clinical Pharmacy Specialist - Aspire Health

CARTI, Inc.

<div><p><b>JOB SUMMARY:
</b></p><p>Under the supervision of a pharmacist, the Pharmacy Technician Specialist &ndash; Training, Quality &amp; Compliance performs standard pharmacy technician duties while leading pharmacy training programs, competency assessments, and sterile testing across all locations. This role ensures regulatory inspection readiness by maintaining organized documentation, supports quality initiatives such as audits and improvement projects, and serves as a back-up for one-day-a-week clinic preparation, patient assistance drug processing, and drug and supply procurement.</p><br>
<p></p>
<p><b>
JOB SPECIFIC DUTIES AND RESPONSIBILITIES:</b></p>
<p>
Pharmacy Technician duties and responsibilities:</p>
<ul><li>
<p>Prepare medication orders by compounding/admixing medications under a pharmacist&rsquo;s supervision</p>
</li><li>
<p>Under direct supervision of a pharmacist, check all orders for completeness of information, verify patient information, and review laboratory values</p>
</li><li>
<p>Under a pharmacist&rsquo;s supervision, admix drugs as ordered by physician in an accurate and timely manner as per department guidelines, and prepare all drugs within CARTI policies and procedures for aseptic technique and handling hazardous drugs</p>
</li><li>
<p>Calculate correct dosage volumes, converting between metric and apothecary equivalents</p>
</li><li>
<p>Maintain inventory of patient and sample medications</p>
</li><li>
<p>Properly dispose of all materials used when mixing chemo or non-chemo IVs</p>
</li><li>
<p>Clean hood daily as stated in policy and procedures and assist with monthly cleaning</p>
</li><li>
<p>Check drugs monthly for outdates</p>
</li><li>
<p>Keep accurate logs on all patient assistance drugs</p>
</li><li>
<p>Maintain complete inventory control of medications, assuring proper inventory levels. Order supplies and medications. Receive and shelve medications. Ensure that standard drug supplies are in adequate supply in all departments.</p>
</li><li>
<p>Prepare labels</p>
</li><li>
<p>Have a thorough understanding of department automation, data entry, and report generation</p>
</li><li>
<p>Complete all initial and annual training and testing as required</p>
</li><li>
<p>Know and follow CARTI policies and procedures.</p>
</li><li>
<p>Proactively assists in the general pharmacy workflow as needed</p>
</li></ul>
<p>Additional Duties and Responsibilities for the Specialist:</p>
<ul><li>
Maintains a thorough understanding of required training and competency evaluations</li><li>
Develops and maintains a robust, structured training program</li><li>
Schedules and conducts competency evaluations and sterile testing at all locations within the required frequency</li><li>
Ensures regulatory and accreditation inspection readiness by organizing and maintaining documentation across all locations for training, competencies, and quality activities</li><li>
Oversees and/or performs sterile compounding training for all locations, ensuring consistent delivery and documentation</li><li>
Supports departmental quality initiatives, such as internal audits, process improvement projects, and data collection to support departmental needs</li><li>
Serves as a back-up for travel clinic preparation, medication procurement, patient assistance medication management, and/or other operational functions, as needed.</li><li>
Maintains a thorough understanding of pharmacy systems, data entry, and report generation</li><li>
Assists the pharmacist with scheduling and staff assignments in their assigned area</li><li>
Assists the pharmacy team with other duties as assigned</li></ul><br>
<p></p>
<p><b>
OTHER JOB REQUIREMENTS: </b>May be required to travel to satellite clinics</p><br>
<p></p>
<p><b>
EDUCATION, CERTIFICATION, LICENSURE, and REGISTRATION:</b></p>
<ul><li>
High School diploma or equivalent</li><li>
Two years of study in an accredited college or university, preferred</li><li>
Arkansas State Board of Pharmacy Technician License, required</li><li>
Within six months of hire date, must obtain Certified Pharmacy Technician (CPhT) Certification.</li><li>
Within six months of hire date, must obtain Certified Pharmacy Technician Educator (CPTEd) Certification</li><li>
Within six months of hire date, must obtain National Pharmacy Technician Association Sterile and Hazardous Compounding Certification courses and become certified</li><li>
Must undergo and pass a criminal background check</li></ul><br>
<p></p>
<p><b>
EXPERIENCE, KNOWLEDGE, SKILLS and ABILITIES:
</b></p><ul><li>3+ years&rsquo; experience in a pharmacy with IV skills</li><li>
3+ years&rsquo; experience educating, instructing or training in pharmacy</li><li>
Knowledge of pharmaceutical and related medical terminology</li><li>
Knowledge of metric and apothecary systems of weights and measurements</li><li>
Knowledge of medical safety standards to assist in manufacturing and working with pharmaceutical substances</li><li>
Knowledge of medications and the dispensing function to check for correctness</li><li>
Ability to read and interpret prescription information</li><li>
Advanced knowledge of aseptic technique</li><li>
Understands and demonstrates aseptic techniques and procedures</li><li>
Excellent verbal and written communication skills</li></ul><br>
<p></p>
<p><b>
REASONING ABILITY:</b></p>
<ul><li>
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists</li><li>
Ability to interpret a variety of instructions furnished in written, oral, or schedule form</li></ul><br>
<p></p>
<p><b>
INTERPERSONAL SKILLS:</b></p>
<ul><li>
Must interact and communicate both verbally and in written form</li><li>
Must interact and exchange information regarding patients with physicians, other departmental Team Members, and outside agencies on a frequent basis while respecting the confidentiality of patient information</li><li>
Professionalism: consistently exhibits integrity, reliability and accountability in all responsibilities. Maintains respectful, constructive interactions while exhibiting emotional intelligence and sound judgement.</li><li>
Positive Work Ethic: Approaches tasks with enthusiasm, initiative, and a commitment to delivering high-quality results.</li><li>
Adaptability: Responds constructively to change, demonstrates flexibility, and remains effective in a dynamic work environment.</li><li>
Collaboration: Works cooperatively with colleagues, values diverse perspectives, and contributes to a respectful team culture.</li><li>
Continuous Improvement Mindset: Actively seeks feedback, embraces learning opportunities, and strives for personal and professional growth.</li><li>
Patient Focused: Maintains a service-oriented mindset, prioritizing the needs of the patients we serve.</li><li>
Communication: Communicates clearly, respectfully, and professionally across all levels of the organization.</li><li>
Problem-Solving Orientation: Approaches challenges with a solution-focused, analytical, and resourceful mindset.</li><li>
Resilience: Maintains composure under pressure and demonstrates perseverance when facing obstacles and time-sensitive matters.</li><li>
Accountability: takes proactive ownership of responsibilities and actively champions departmental education, continually identifying and pursuing opportunities to enhance knowledge, skills and training practices.</li><li>
Constructive feedback: demonstrates the ability to deliver thoughtful, professional feedback to support continuous improvement and enhanced techniques.</li></ul><br>
<p></p>
<p><b>
PHYSICAL DEMANDS:</b></p>
<p>
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.</p>
<ul><li>
While performing the duties of this job, the Team Member is regularly required to talk or hear.</li><li>
The Team Member is regularly is required to stand, walk, and sit; use hand to finger, handle, or feel objects, tools, or controls; and reach with hands and arms</li><li>
Specific vision abilities required by this job include close vision and the ability to adjust focus</li><li>
Must be able to lift up to 40 pounds</li></ul><br>
<p></p>
<p><b>
WORK ENVIRONMENT:</b></p>
<p>
The work environment described here is representative of those a Team Member encounters while performing the essential functions of this job. This position involves potential exposure to infectious diseases. Team Members are offered appropriate vaccinations and safety training.</p><br>
<p></p>
<p><b>
COMMENTS:</b></p>
<p>
This description is intended to describe the essential functions, the general supplemental functions, and the essential requirements for the performance of the job. It is not an exhaustive list of all duties, responsibilities, and requirements of the position. Other functions may be assigned, and management retains the right to add or change duties at any time. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.</p><br>
<p></p>
<p><i>
This position is a </i><b><i>Safety Sensitive Position</i></b><i>. The essential functions, physical demands, and mental competencies of this job require the Team Member to maintain the ability to work in a constant state of alertness safely.</i></p></div>

Pharmacy Technician Specialist|Training Quality & Compliance

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