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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medication adherence, prior authorization processes, and medication reconciliation while ensuring compliance with Medicare and Medicaid requirements. Proficient in educating members on pharmacy-based prescription rules and effectively resolving medication-related inquiries.
Highest-signal resume keywords
Active Professional LicenseState Pharmacy Technician CertificationMedication ReconciliationPrior Authorization ProcessingMedicare and Medicaid Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medication AdherencePrior Authorization ProcessingMedication ReconciliationElectronic Health RecordsPharmacy Experience
Soft Skills
CommunicationProblem-SolvingCustomer Service
Tools & Technologies
Computer ProficiencyMultitasking
Certifications & Qualifications
Pharmacy Technician Certification
Industry Keywords
MedicareMedicaidPharmacy-Based Prescription RulesMedication ResourcesGrievance and Appeal Resolution
About the role
Key responsibilities & impact- Assist with medication adherence
- Process prior authorizations
- Perform medication reconciliation
- Troubleshoot cost and medication access issues
- Verify member information and input medication data
- Ensure medication access and adherence to optimize health
- Educate members on pharmacy-based prescription rules and medication resources or assistance programs
- Process prior authorization requests from physicians’ offices
- Ensure compliance with Medicare and Medicaid requirements
- Inform relevant parties of prior authorization determinations
- Resolve grievance and appeal issues
- Respond to medication-related inquiries from patients, providers, and team members
- Receive calls from members to address medication or pharmacy-related needs
Requirements
What you’ll need- Active professional license, if required by state law
- State Pharmacy Technician Certification or National Certification based on applicable state requirements
- Certification to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States
- High school diploma or equivalent
- Minimum of 2 years of pharmacy experience
- Experience working with electronic health records preferred
- Basic knowledge of Medicare and Medicaid preferred
- Experience talking with members/patients on the phone preferred
- Proficiency in computer use while multitasking preferred
- Ability to work 10-hour shifts on weekdays from 8:00 am to 7:00 pm CST and rotating weekends from 8:00 am to 7:00 pm CST
- Candidates must reside within a reasonable commuting distance from the posting location(s), unless accommodation is granted as required by law
- New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) with company match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Virtual full-time work, except for required in-person training sessions
- Flexible work-life integration
- Vaccination support/requirements for certain patient/member-facing roles