pharmacy services representative

AlignRx

<p>AlignRx is a Public Benefit LLC (PBLLC)&mdash;a for-profit limited liability company that is intended to produce a public benefit and to operate in a sustainable manner. We are the only PSAO to establish itself as this type of legal entity, as we are deeply committed to promoting the interests of community pharmacies. You can count on us to be transparent, accountable, and passionate.</p><p>As an independently owned PSAO, we want community pharmacy owners to have maximum flexibility in their buy-side choices so they can maintain control over their business. AlignRx does not require pharmacy owners to purchase from a specific wholesaler or buying group. This benefit is just one more reason that community pharmacies experience peace of mind knowing our interests are in sync with theirs.</p><p>Our mission is to support community pharmacy by offering innovative products and services that are best in class and designed to promote the pharmacies we serve as essential healthcare providers resulting in improved patient care and outcomes.</p><p><b>Job Summary</b></p><p>Within the Pharmacy Services Department, the Provider Relations Representative is responsible for providing support to pharmacy members seeking assistance or information regarding: contracted PBMs and health plans, payment rates and reimbursement status, claims processing and reconciliation, and all AlignRx programs and services. The position utilizes tools, resources, and guides to provide prompt and accurate addressing of questions and resolution of issues. The Provider Relations Representative often works closely with the PBM Account Executive and Senior PBM Account Executive on PBM and health plan issues.</p><p>Essential Job Functions</p><p>1. Serve as the front-line contact for AlignRx pharmacy members requesting information on, assistance with, or explanation of claims processing issues, AlignRx PSAO contracts, pharmacy not-contracted, direct contracting, claims pricing, claims reconciliation, and missing data, etc. (requests received via pharmacy member service calls, emails, or faxes).</p><p>2. Maintain knowledge of existing and newly launched AlignRx programs and services, including mastering content of AlignRx programs and services guides for the purpose of servicing pharmacy members.</p><p>3. Conduct data pulls to validate contract information.</p><p>4. Follow up on eRecon and Central Pay issues for pharmacy members.</p><p>5. Follow defined work plans and leadership direction to meet due dates when addressing pharmacy member concerns or adverse issues.</p><p>6. Abide by department workflow, policies, and procedures.</p><p>7. Remain current on pharmacy industry trends and aware of AlignRx pharmacy member business needs and concerns.</p><p>8. Monitor and address issues from Customer Support email box.</p><p>9. Document call and work activity in the Pharmacy Data Management System (PDMS) and review Daily Notes report to ensure follow-up and resolution.</p><p>10. Attend and actively participate in Provider Relations team meetings.</p><p>11. Provide support to other team members, as needed.</p><p>Additional Responsibilities</p><ul><li>Perform other duties or projects as assigned by senior management.</li></ul><p>Minimum Qualifications for Consideration</p><ul><li>Bachelor&rsquo;s degree in a business-related field preferred.</li><li>Two to three years as a pharmacy technician in a retail pharmacy environment.</li></ul><p>Knowledge, Skills, and Abilities:</p><ul><li>Excellent verbal and written communication skills</li><li>Good interpersonal skills: able to work and communicate effectively with all levels of co-workers, clients, and other external contacts</li><li>Strong organizational and time management skills</li><li>Dependable with good attendance and adherence to timelines and schedules</li><li>Strong analytical skills</li><li>Good problem-solving skills</li><li>Consistent follow-through on issue resolution</li><li>Resourceful, with the ability to take initiative in development and completion of projects</li><li>Strong sense of customer service</li><li>Basic computer knowledge through effective use of a personal computer including Microsoft Office applications, specifically: file management skills, Internet, Microsoft Windows, database, word processing (Word), spreadsheets (Excel), presentation software (PowerPoint), graphics</li><li>Knowledge of and experience in the pharmacy and healthcare industry regarding terminology and retail pharmacy operations, including understanding of how and why pharmacy claims process (e.g., calculation of copayments, pricing hierarchies)</li><li>Basic drug knowledge and understanding of Therapeutic Categories (TC), Multi-Source Indicators (MSI), Generic Product Identifier (GPI), Generic Code Number (GCN), Drug/claim statuses: Paid vs. Captured; PDL/NPDL; &ldquo;F&rdquo; &ndash; Formulary (paid) vs. &ldquo;G&rdquo; &ndash; Non-formulary paid</li></ul><p>Physical Requirements/Working Conditions</p><ul><li>Sedentary work, requiring the following physical activities: sitting for long periods of time; occasional bending, squatting, kneeling, stooping; good finger dexterity and feeling; frequent repetitive motions; talking, hearing, and visual acuity</li><li>Lifting of up to 20 pounds of paper supplies or minor office equipment</li><li>Conducting work in a business-type environment (e.g., desk, table) that can facilitate the use of two computer monitors</li><li>Remote</li></ul><p>Salary</p><p>Starting at $20.00 an hour, based on experience</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul><p>NOTE: The above statements are intended to describe the general nature and level of work performed by an employee in this position. These statements are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of employees in this position.</p><p><i>AlignRx is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate unique differences of our employees, knowing diversity drives innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by applicable laws or regulations.</i></p><p>Experience:</p><ul><li>Pharmacy technician in a retail environment: 2 years (Required)</li></ul><p>Work Location: Remote</p><p>Pay: From $20.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul><p>Experience:</p><ul><li>Pharmacy technician in a retail environment: 2 years (Required)</li></ul><p>Work Location: Remote</p>

Provider Relations Representative

<div>Responsibilities: <b>Job Summary:</b> As a Pharmacy Care Representative, you'll work in a team environment to provide superior customer service that exceeds patient expectations.<br>
<br>
<b>Key Responsibilities &amp; Essential Functions:</b><br>
Customer Service / Patient Care:<br>
<ul><li><ul><li>
Provides / role-models superior customer service; works closely with Pharmacists, Pharmacy Technicians, and Pharmacy Care Representatives (PCRs) to provide excellent patient care</li><br>
<li>
Promotes / fosters &quot;Greet, Ask, and Thank&quot; and H-E-B telephone strategies; directs calls to appropriate Partner</li><br>
<li>
Receives written prescriptions from customers; obtains / verifies demographic and profile-related information; receives refill prescription numbers (by phone and at drop-off counter) and obtains profile-related information; processes written prescriptions and refill numbers into RXEVO</li><br>
<li>
Generates prescription-related paperwork; files / retrieves / maintains prescriptions in the Will-Call area</li><br>
<li>
Uses RXEVO at point of sale (POS) system; ensures procedures are followed to deliver prescriptions to correct patients (name, number of orders per bag, etc.)</li><br>
<li>
Directs customers to counseling window for Pharmacist consultation</li><br>
<li>
Obtains /returns tills from bookkeeping; processes customer transactions at register</li><br>
<li>
Maintains manual signature capture receipts; scans into RXEVO in a timely fashion</li><br>
<li>
Properly processes / clears prepaid prescriptions</li><br>
<li>
Ensures all prescription deliveries are finalized; prints RX delivery ledger daily</li><br>
<li>
Completes contact patient queue</li><br>
<li>
Files / maintains prescription hard copies</li><br>
<li>
Assists Technicians and Pharmacists to ensure complete, efficient production for the shift</li><br>
<li>
Participates in / assists with Rx screening events, flu shot scheduling, immunization scheduling, and future medication therapy management (MTM) events</li><br>
<li>
Checks in / assists customers receiving vaccines using comprehensive vaccine manager (CVM) tool or other professional services apps</li><br>
<li>
May participate in other professional services activities</li></ul></li><br>
Inventory Management:<br>
<li><ul><li>
Receives OTC inventory; checks delivery for accuracy compared to invoices, contacts H-E-B warehouse or vendor if inventory is short</li><br>
<li>
Stages OTC inventory; breaks out into stocking sections, including front-of-pharmacy items (e.g., OTC, diabetic supplies)</li><br>
<li>
Complies with Return to Stock SOP to locate prescriptions via inventory management queue</li><br>
<li>
Ensures caps, vials, bags, etc., are correctly stocked</li><br>
<li>
Records fridge and freezer temperature logs</li></ul></li><br>
Compliance / Sanitation:<br>
<li><ul><li>
Complies with HIPAA regulations to ensure privacy and confidentiality of personal health information (PHI)</li><br>
<li>
Complies with TSBP rules and H-E-B SOPs to ensure patient counseling is provided on applicable prescriptions</li><br>
<li>
Complies with SOP to process PSE transactions; follows manual process only if electronic system unavailable</li><br>
<li>
Complies with Central Fill check-in procedures</li><br>
<li>
Ensures department and work area (inside and outside) comply with presentation, organization, sanitation, and maintenance guidelines</li><br>
<li>
Removes trash from department; complies with trash compactor processes</li></ul></li></ul><i><br>
The responsibilities and essential functions outlined above describe the general nature and level of work assigned to this position. This is not an exhaustive list of all duties, responsibilities, and skills required. Duties and responsibilities may be modified at any time based on business needs. Employees may be required to perform other job-related tasks as requested by their supervisor, subject to reasonable accommodations.</i><br>
<br>
<b>Qualifications &amp; Key Requirements:</b><br>
<br>
<b>Age Requirement:</b><ul><li>
18+</li></ul><br>
<b>
Work Experience:</b><ul><li>
Experience in retail -
</li><li>experience in pharmacy a plus -
</li>Experience working in a fast-paced environment -<br>
<li>
</li></ul><br>
<br>
<b>Knowledge/Skills/Abilities:</b><ul><li>
Working knowledge of pharmacy-related tasks, H-E-B RXEVO system, register procedures, and H-E-B Pharmacy SOPs -
</li><li>Strong communication and customer service skills -
</li><li>Mathematical skills (including calculating measurements) -
</li><li>PC skills, including MS Office and H-E-B software and programs required by the job -
</li><li>Cash-handling skills -
</li><li>Ability to maintain composure in high-stress situations -
</li><li>Ability to demonstrate strong telephone etiquette -
</li><li>Ability to manage multiple priorities and shift focus between tasks -
</li><li>Ability to work in a team environment -
</li><li>Ability to work with little direct supervision -
</li>Willingness to cross-train -<br>
<li>
</li></ul><br>
<br>
<b>Education:</b>
or equivalent -<br>
<ul><li>
</li></ul><br>
<br>
<b>Licenses/Certifications:</b><ul><li>
Completion of all training and certification e.g -
</li><li>PCR -
</li><li>RXEVO -
</li><li>HIPAA -
</li><li>FWA -
</li><li>MethGuard -
</li><li>diversity -
</li><li>ACR -
</li><li>H-E-B Screener certification -
</li>Company orientation -<br>
<li>
</li></ul><br>
<br>
<b>Physical Demands &amp; Working Conditions:</b><ul><li>
Function in a fast-paced, retail, office environment</li><li>
Work rotating shifts, including nights and weekends</li><li>
Stand for extended periods (up to 12 hours)</li><li>
Regularly lift 30 lbs or more</li><li>
Fulfill vision requirements for the job, specifically close vision and color vision</li><li>
Maintain H-E-B Rx screener status, including required recertification</li></ul><br>
<i>
The work environment characteristics described here are representative of those a Partner encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</i><br>
<br>
<b>Last revised: </b>12/01/2021</div>

Odessa 01 (42nd St) - Pharmacy Care Representative - Part Time

The Cigna Group

<div><h1 class="jobSectionHeader"><b>As a Pharmacy Operations Lead Representative you will be responsible for the distribution of workload and monitoring of workflow for members of their assigned area to ensure assigned work is completed timely and accurately. Serves as a resource to supervisor and back up to cell owners and team members.</b></h1><h1 class="jobSectionHeader"><b>
Work Schedule:</b><b> </b><b>Sunday to Wednesday - 5 AM to 3:30 PM</b></h1><h1 class="jobSectionHeader"><b>
What you&rsquo;ll do:</b></h1><ul><li><h1 class="jobSectionHeader"><b>
Ensure appropriate distribution of workload and workflow for assigned area including scheduling, shifting resources and back filling as needed.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Serve as the first line resource for questions/issues from team and cell owners, in coordination with supervisor; demonstrates leadership qualities consistent with the Express Way values.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Effectively manages issues impacting performance and productivity of team members; including documenting issues, offering solutions, collaborating with others, communicating status and escalating as needed.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Assist Supervisor in ensuring that established policies and standard operating procedures are being followed and that individual and team goals for productivity and quality are met/exceeded.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Assist in the development, documentation and updating of policies and procedures for technicians, including specific training and validation material</b></h1></li><li><h1 class="jobSectionHeader"><b>
Assist in training and validating technician staff regarding procedures, including one on one training and/or to group sessions as needed</b></h1></li><li><h1 class="jobSectionHeader"><b>
Ensure that all team members are cross trained to cover production functions.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Other duties as assigned.</b></h1></li></ul><h1 class="jobSectionHeader"><b>
What you need to do the job:</b></h1><ul><li><h1 class="jobSectionHeader"><b>
High School diploma or equivalent experience</b></h1></li><li><h1 class="jobSectionHeader"><b>
Minimum three years relevant working experience; experience in a pharmacy dispensing setting is required.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Pharmacy Technician license / certification / registration as required by state law.</b></h1></li><li><h1 class="jobSectionHeader"><b>
General PC knowledge: Microsoft Word, Excel, PowerPoint and email skills, preferred.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Knowledge of standard concepts, practices, and procedures within dispensing pharmacy.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Strong attention to detail with good organizational skills.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Good verbal and written communication skills.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Willingness to work a flexible schedule to accommodate heavy work volumes.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Ability to stand for extended periods of time.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Ability to adapt in a dynamic work environment, learn quickly, solve problems and make decisions.</b></h1></li></ul><h1 class="jobSectionHeader"><b>
What we offer:
</b></h1><ul><li><h1 class="jobSectionHeader"><b>Health coverage effective day 1 (including Medical, Dental and vision.</b></h1></li><li><h1 class="jobSectionHeader"><b>
401(k) plan with company match.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Holiday Pay and Paid time off.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Education/Certification Program (Grow to Thrive).</b></h1></li><li><h1 class="jobSectionHeader"><b>
Career Growth and advancement opportunities.</b></h1></li></ul><h1 class="jobSectionHeader"><b>
Physical Requirements:</b></h1><ul><li><h1 class="jobSectionHeader"><b>
Sit and/or stand for lengthy Periods.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Lift up to 50 lbs. occasionally and 20 lbs. frequently.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Perform repetitive motion with fingers, hands, and arms.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Work may be in confined areas close to machinery.</b></h1></li><li><h1 class="jobSectionHeader"><b>
Work may be in performed in an environment with varying noise levels.</b></h1></li></ul><h1 class="jobSectionHeader"><b>
Please note</b><b>: This position is fully on‑site and does not permit remote work. Any references to home‑based internet requirements do not apply to this role.</b></h1><br>
<p></p>
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.<p></p><p><b>
About Evernorth Health Services</b></p><p></p>
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.<p></p><p><i>
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.</i></p><p></p><p><i>
If you need a reasonable accommodation to complete the online application process, please email </i><b><i>seeyourself@thecignagroup.com</i></b><i> for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.</i></p><p></p><p><i>
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.</i></p><p></p><p><i>
Qualified applicants with criminal histories will be considered for employment in a manner </i><i>consistent with all federal, state and local ordinances.</i></p></div>

Pharmacy Operations Lead Representative - Express Scripts

Gainwell Technologies LLC

<div><p>It takes great medical minds to create powerful solutions that solve some of healthcare&rsquo;s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you&rsquo;ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you&rsquo;ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.</p><p></p><div><div><div><h2 class="jobSectionHeader"><b><br>
Summary</b></h2></div><div><p>
The <b>Pharmacy Prior Authorization Call Center (PPAAC) Representative</b> supports the <b>Connecticut Medicaid account</b> in a fast-paced, high-volume call center environment. This role is responsible for answering and resolving inquiries from prescribers and pharmacies related to <b>pharmacy claims and prior authorization requests</b>, ensuring timely, accurate, and compliant processing.</p><p>
Working as part of a small, specialized team, the PPAAC Representative is required to process <b>all pharmacy prior authorizations within 24 hours of receipt</b>. This position requires flexibility to work <b>rotating shifts</b>, including second and third shifts, as well as <b>on-call coverage</b> on a rotational basis. Other duties may be assigned as needed.</p></div></div><div><div><h2 class="jobSectionHeader"><b>
Your role in our mission</b></h2></div><div><ul><li><p>
Serve as a primary point of contact for prescribers and pharmacies regarding pharmacy claims and prior authorization inquiries</p></li><li><p>
Analyze pharmacy claims and provide accurate clarification, verification, and resolution to provider inquiries</p></li><li><p>
Process prior authorization requests, including approvals and denials, and document rationale in accordance with policy</p></li><li><p>
Accurately document all call interactions, inquiries, decisions, and resolutions in the system</p></li><li><p>
Maintain confidentiality and compliance with <b>HIPAA</b> and Connecticut Medicaid guidelines</p></li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What we're looking for</b></h2></div><div><ul><li><p>
Knowledge of <b>pharmacy claims processing</b> and pharmacy dispensing systems, with exposure to Medicaid and/or Medicare Part D programs</p></li><li><p>
Ability to work effectively in a <b>high-paced, high-volume</b> environment with strong multi-tasking and time management skills</p></li><li><p>
Proficiency with <b>Microsoft Office Suite</b> (Word, Excel, Outlook) and experience working in a paperless, technology-driven environment</p></li><li><p>
Strong verbal and written communication skills, with the ability to interact professionally with providers and internal teams</p></li><li><p><b>
Active Connecticut Pharmacy Technician license</b>, along with prior retail pharmacy or customer service experience</p></li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
What you should expect in this role</b></h2></div><div><ul><li><b>
Remote work opportunity</b>, but must reside in Connecticut.</li><li><b>
Potential for in-office work</b> in East Hartford as needed.</li><li><b>
24/7/365 call center environment</b> with rotating shifts:<ul><li><b>
Monday &ndash; Friday:</b> 7:30 AM &ndash; 7:30 PM</li><li><b>
Saturday (rotating schedule):</b> 9:00 AM &ndash; 4:00 PM</li><li><b>
All off-hours are covered on an on-call rotation</b>.</li></ul></li><li>
A dynamic and fast-paced <b>call center environment</b> where accuracy and efficiency are key.</li><li><b>
Work from Home</b>: Reliable high-speed internet connectivity is essential. Minimum requirements are 24 Mbps download and 8 Mbps upload, with higher speeds recommended for optimal performance.</li><li><b>
Interview Requirement</b>: Video cameras must be used during all interviews.</li></ul><p>
#LI-REMOTE</p><p>
#LI-JT1</p><p>
#LI-CM1</p></div></div></div><p></p><p><br>
The pay range for this position is $33,500.00 - $47,900.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</p><p></p><p><br>
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</p><p></p><p><i><br>
Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></p></div>

Pharmacy Prior Authorization Representative - Remote CT

Prestige Staffing

<div>
 <strong>
  Clinical Pharmacist - 8 week Remote Contract to permanent role
  <br/>
  <br/>
 </strong>
 <strong>
  Pay:
 </strong>
 $55-65/hr. (based on experience)
 <br/>
 <br/>
 <strong>
  Location:
 </strong>
 Remote - REQUIRES FLORIDA LICENSURE
 <br/>
 <br/>
 <strong>
  Credentials
 </strong>
 : Florida License required
 <br/>
 <br/>
 <strong>
  Summary
  <br/>
  <br/>
 </strong>
 The
 <strong>
  Clinical Pharmacist
 </strong>
 is responsible for delivering medication management services to medically and socially complex patients. Reporting to the Manager of Pharmacy Services, this operational role involves direct patient care, development of pharmacy protocols, interdisciplinary collaboration, staff training, and participation in quality improvement initiatives. The position requires strong clinical expertise, regulatory compliance, patient education, and involvement in team-based care planning.
 <br/>
 <br/>
 <strong>
  Key Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Develop medication protocols and ensure safe prescribing practices
  </li>
  <li>
   Provide chronic disease management support (e.g., diabetes, COPD, CHF, asthma)
  </li>
  <li>
   Participate in quality initiatives, patient interventions, and policy development
  </li>
  <li>
   Educate patients and consult with healthcare professionals on drug therapies
  </li>
  <li>
   Maintain compliance with pharmacy regulations and stay current on drug innovations
  </li>
  <li>
   Support staff development and engage in team-based care coordination
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Requirements
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   PharmD degree and active pharmacist license
  </li>
  <li>
   Medicare Part B prescription coverage knowledge
  </li>
  <li>
   3+ years of pharmacy experience, preferably in clinical settings
  </li>
  <li>
   Strong therapeutic knowledge, organizational skills, and tech proficiency
  </li>
  <li>
   Effective communication, critical thinking, and ability to work independently and collaboratively
  </li>
  <li>
   Licensure as a pharmacist in the state of Florida
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Attributes
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Positive, team-oriented, and driven by quality patient outcomes
  </li>
  <li>
   Skilled in multitasking, confidentiality, and cultural sensitivity
   <br/>
   <br/>
  </li>
 </ul>
</div>


Medicare Part B Pharmacist (Remote)

Henry Ford Health

<div><div><p>Join the growing <b>Henry Ford Health Pharmacy Advantage</b> team as a <b>Full-Time Pharmacy Benefits Specialist!</b> Make a meaningful impact on patient care while enjoying a <b>flexible hybrid schedule</b> (In-person + Remote). This role offers a <b>$2,500 sign-on bonus</b> and <b>comprehensive full-time benefits</b>. You'll support patients and providers by helping navigate pharmacy benefits and coordinating prescription services. Be part of a mission-driven team that's improving lives every day! This role is based out of Rochester Hills close door Pharmacy department here at Henry Ford Health.</p><p><b>
GENERAL SUMMARY:</b></p><p>
***Eligible for $2,500 Sign on Bonus***</p><p>
Location: Rochester Hills, MI</p><p>
Schedule: Full- Time Day Shifts</p><p>
In this role, you will collaborate with our Mail Order Services Department within the Henry Ford Health Pharmacy Advantage Team.</p><p><b>
Mail Order Services Department: </b>The Pharmacy Benefits Specialist within the Mail Order Services team will support patients with maintenance medications. Responsibilities include prescription intake, adherence reminder calls, delivery coordination, insurance benefits investigation, prior authorization management, and financial assistance research. The team monitors medication adherence across multiple patient populations, including Medicare, Medicaid, Transplant, Transition of Care, and Commercial. By identifying and addressing patient barriers, our team enhances adherence and health outcomes while delivering exceptional service. This office-based position requires strong computer and phone communication skills. We are seeking career-focused individuals to join our growing, patient-centered, and collaborative pharmacy team.</p><p><i>
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and duties. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described above.</i></p>
<div><p><b>EDUCATION/EXPERIENCE REQUIRED:</b></p><ul><li>
Requires a High school diploma or G.E.D. Associates degree preferred</li><li>
Requires State of Michigan Pharmacy Technician License.</li><li>
Requires a minimum of two years of previous pharmacy technician experience.</li><li>
Previous experience as a specialty pharmacy technician preferred.</li></ul><p></p><p><br>
#IND3</p>
 </div></div><div><div><div><div><h4 class="jobSectionHeader"><b>Additional Details</b></h4>
<div><p>
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.</p></div>
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</div></div><div><div><div><h4 class="jobSectionHeader"><b>Overview</b></h4>
<div><p>
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services &ndash; from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford&rsquo;s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation&rsquo;s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.</p></div>
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</div></div><div><div><div><h4 class="jobSectionHeader"><b>Benefits</b></h4><div><p><br>
</p><p>The health and overall well-being of our team members is our priority. That&rsquo;s why we offer support in the various components of our team&rsquo;s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
</p></div></div></div></div><div><div><div><h4 class="jobSectionHeader"><b>Equal Employment Opportunity/Affirmative Action Employer</b></h4>
<div><p>
 Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is</p>
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 committed to the hiring, advancement and fair treatment of all individuals without regard to</p>
<p>
 race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,</p>
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 weight, marital status, family status, gender identity, sexual orientation, and genetic information,</p>
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 or any other protected status in accordance with applicable federal and state laws.</p></div></div></div></div></div></div>

Pharmacy Benefits Specialist - Mail Order Services - Full Time Days - Rochester Hills

<div><p>Are you passionate about working for a company on a mission to make medicine safer, more affordable, and accessible for millions of Americans? Accredo is looking for high-energy, positive individuals to join our pharmacy technician team. Members of this team are tasked with ensuring prescriptions are processed and shipped appropriately so they can arrive in the hands of the 100 million patients whose health depends on their delivery. Join us in our mission to change lives!</p><p></p><p><b>
How you&rsquo;ll make a difference:</b></p><ul><li><p>
Be a superstar in the eyes of your team and the patient. Select and retrieve appropriate quantities of medication and prepare the labels that correspond.</p></li><li><p>
Use your expert problem solving skills to help our patients be at their best every day. Work with a skilled team to ensure patients get the medication they need in a timely manner.</p></li><li><p>
Gain new knowledge with our systems and new relationships with your peers. You&rsquo;ll start with training, but you&rsquo;re not doing it alone. You&rsquo;ll enjoy a supportive environment with your peers and other teams who want you to succeed.</p></li></ul><p><b>
What you&rsquo;ll do:</b></p><ul><li><p>
Process requests for new and refill prescriptions</p></li><li><p>
Select and retrieve appropriate medications</p></li><li><p>
Verify quantities and prepare labels for bottles</p></li><li><p>
Send orders to pharmacy staff for completion and verification of prescription based programs</p></li><li><p>
Select appropriate packing materials and prepare packages for shipment</p></li><li><p>
Enclose client specified materials to orders</p></li><li><p>
Affix shipping labels on packages and sort by carrier</p></li><li><p>
Clean equipment and replenish workstation supplies like pill bottles, caps, safety seals, and paper</p></li><li><p>
Other duties as assigned</p></li></ul><p></p><p><b><br>
Work Schedule: Monday through Friday from 10:30 AM through 7:00 PM ( This shift may be eligible for shift differential)
</b></p><p></p><p><b>Physical Requirements:</b></p><ul><li><p>
Stand for lengthy periods.</p></li><li><p>
Lift up to 50 lbs. occasionally and 20 lbs. frequently</p></li><li><p>
Perform repetitive motion with fingers, hands, and arms.</p></li><li><p>
Work may be in confined areas close to machinery.</p></li><li><p>
Work may be performed in an environment with varying levels of noise.</p></li></ul><p><b>
Why join us?</b></p><ul><li><p>
Health coverage effective day 1 (including medical, dental, vision)</p></li><li><p>
Holiday, PTO and OT pay</p></li><li><p>
401K with company match</p></li><li><p>
Tuition reimbursement</p></li><li><p>
Quarterly Bonuses based on team achieving key metrics</p></li><li><p>
Fun, friendly and unique culture &ndash; bring your whole self to work every day!</p></li></ul><p></p><p><b>
What you should have:</b></p><ul><li><p>
High School Diploma / GED required.</p></li><li><p>
Arizona State Board of Pharmacy license required; Certification preferred; (If only licensed, will need commitment to become Pharmacy Technician Certified prior to license expiration).</p></li><li><p>
Relevant experience as a Pharmacy Technician preferred.
</p></li><li><p>Basic math skills and General PC knowledge including Microsoft Office, use of the internet and email.</p></li><li><p>
Excellent verbal and written communication skills.</p></li></ul><p></p><p>
** External Candidates may be eligible for a Sign-on bonus. Sign on bonus for external eligible applicants only**</p><p></p><p><b>
Please note</b>: This position is fully on‑site and does not permit remote work. Any references to home‑based internet requirements do not apply to this role.</p><br>
<p></p>
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.<p></p><p><b>
About Evernorth Health Services</b></p><p></p>
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.<p></p><p><i>
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.</i></p><p></p><p><i>
If you need a reasonable accommodation to complete the online application process, please email </i><b><i>seeyourself@thecignagroup.com</i></b><i> for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.</i></p><p></p><p><i>
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.</i></p><p></p><p><i>
Qualified applicants with criminal histories will be considered for employment in a manner </i><i>consistent with all federal, state and local ordinances.</i></p></div>

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