Pharmacy Technician –Medication Therapy Management

About us

TransparentRx, through our unmatched breadth of service offerings, is transforming the delivery of pharmacy benefits management services in the U.S. We are an innovative, fast-growing company guided by values that focus on fanatical attention to detail, honesty and integrity, respect for all people and excellence in all aspects of the company. What are we looking for in our employees?

• We seek fresh ideas
• New perspectives
• A diversity of experiences, and
• A dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day.

As the nation’s first fiduciary-model pharmacy benefit manager, we offer a wide range of competitive advantages across our service portfolio. Our energetic and help-oriented employees work hard every day to make a positive difference in the lives of our customers.

Support Clinical Team Efforts:

• Collaborate with prescribers and beneficiaries to ensure appropriate, evidence-based drug selection.
• Resolve medication-related problems.

Medication Therapy Management Services:

• Triage inbound calls to the MTM hotline.
• Monitor fax line for prescriber responses and completion of failed faxes.
• Assist pharmacists in completing Comprehensive Medication Reviews (CMRs) and Targeted Medication Reviews (TMRs) through pre-work up and case preparation.
• Communicate with network pharmacies, prescribers, and beneficiaries to provide MTM services.

Documentation and Compliance:

• Document services/activities in designated databases/software to ensure compliance with CMS requirements.
• Participate in drug utilization review (DUR) initiatives, including meeting preparation, letter campaigns, and telephonic outreach.

Data Analysis and Audit Support:

• Support basic data analytic activities and track interventions.
• Assist in preparing and documenting responses to regulatory audits.

Operational Support:

• Participate in MTM Call Center operational meetings and training sessions.
• Provide timely MTM services under pharmacist oversight.
• Handle inbound and outbound calls with providers, physicians' offices, and pharmacies.

Beneficiary Engagement:

• Contact beneficiaries to explain the MTM program and schedule pharmacist interviews.
• Perform quarterly follow-ups with beneficiaries as needed.
• Screen inbound calls and voicemail messages, determining appropriate actions and escalating calls when necessary.
• Ensure first call resolution and effectively assess beneficiary needs and concerns.
• Request additional help as needed.
• Perform other various duties and tasks as assigned by supervisor(s)

Minimum (Required): (must be met in order to perform the job at the required level)

• High School diploma or equivalent
• Certified Pharmacy Technician certification

Preferred: (if above and beyond the minimum required)

• Previous customer service experience in a Pharmacy Benefit Management or health care environment
• Previous customer service experience
• Pharmacy Technician certification
• Bilingual (English and Spanish)

Physical Demands: May sit, stand, stoop, bend and walk intermittently during the day. May sit or stand six (6) to eight (8) hours per day. It may be necessary to work extended hours as needed. Finger dexterity to operate office equipment required. May need to lift up to twenty-five (25) pounds on occasion. 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. Must be able to hear normal voice sounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role.

Work Environment: Work in a climate-controlled, smoke-free internal environment.

Disclaimer: The above job description is intended to describe the general nature and level of work being performed by employees assigned to this job. It is not designed to capture or illustrate a comprehensive list of all responsibilities, duties, and skills required of employees assigned to this job.

Equal Opportunity Employer: TransparentRx is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, and veteran status or any other status protected by federal, state or local law. TransparentRx is an Equal Employment Opportunity and Affirmative Action Employer.'
'
Benefit Conditions:

• Waiting period may apply
• Only full-time employees eligible

Contract Renewal:

• Likely

Full Time Opportunity:

• Yes

Job Duties:

• Collaborate with prescribers and beneficiaries for evidence-based drug selection and medication problem resolution
• Triage inbound MTM hotline calls and monitor fax line for prescriber responses
• Assist pharmacists with Comprehensive Medication Reviews (CMRs) preparation
• Communicate with pharmacies, prescribers, and beneficiaries for MTM services
• Document activities in databases to comply with CMS requirements
• Participate in drug utilization review (DUR) initiatives
• Support data analytics and track interventions
• Assist with regulatory audit documentation
• Attend MTM Call Center meetings and training sessions
• Provide timely MTM services under pharmacist oversight
• Handle both inbound and outbound calls with healthcare professionals and pharmacies
• Engage beneficiaries, explain the MTM program, and schedule pharmacist interviews
• Conduct quarterly follow-ups with beneficiaries
• Screen and escalate calls as necessary, ensuring first call resolution
• Other duties as requested

Communication method(s) used:

• Email
• Phone
• Chat

Work environment:

• Office

Hours per week:

• up to 20 hours per week

This Job Is:

• A job for which military experienced candidates are encouraged to apply
• A job for which all ages, including older job seekers, are encouraged to apply
• Open to applicants who do not have a college diploma
• A job for which people with disabilities are encouraged to apply
• A “Fair Chance” job (you or the employer follow Fair Chance hiring practices when performing background checks)
• A good job for someone just entering the workforce or returning to the workforce with limited experience and education
• A good fit for applicants with gaps in their resume, or who have been out of the workforce for the past 6 months or more

Work Remotely

• Remote and Flexible

This Job Is Ideal for Someone Who Is:

• Dependable -- more reliable than spontaneous
• Detail-oriented -- would rather focus on the details of work than the bigger picture
• Autonomous/Independent -- enjoys working with little direction
• Achievement-oriented -- enjoys taking on challenges, even if they might fail
• People-oriented -- enjoys interacting with people and working on group projects

Job Type: Part-time

Expected hours: No more than 20 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance
• Work from home

Schedule:

• Choose your own hours
• Day shift
• Monday to Friday
• Weekends as needed

Application Question(s):

• Be willing to provide and schedule calls with a minimum of 3 references (corporate phone lines only).

Education:

• High school or equivalent (Required)

Language:

• Spanish (Preferred)

License/Certification:

• Pharmacy Technician Certification (Required)

Work Location: Remote