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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in telephonic support for Medicaid patients, coordinating medication needs with multidisciplinary teams, and navigating EHR systems. Proven ability to improve patient care for underserved populations while maintaining compliance with Virginia pharmacy regulations.
Highest-signal resume keywords
Virginia State Pharmacy Technician LicensePTCB CPhT CertificationExperience in Outpatient Care SettingsProficiency in EHR DocumentationStrong Interpersonal Communication Skills
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 Prior AuthorizationsFormulary ChangesMedication Information VerificationProblem-SolvingProcess Improvement
Soft Skills
Customer Service OrientationDetail-Oriented MindsetEffective CollaborationProactive Patient Engagement
Tools & Technologies
EHR SystemsSpreadsheets
Certifications & Qualifications
Virginia State Pharmacy Technician LicensePTCB CPhT Certification
Industry Keywords
MedicaidManaged CareOutpatient CareQuality Improvement InitiativesHEDIS Gaps
About the role
Key responsibilities & impact- Provide virtual, primarily telephonic, support for Medicaid patients
- Partner with Waymark pharmacists to help patients access medications, address medication non-adherence barriers, access relevant durable medical equipment, and elevate prescription needs to providers
- Coordinate patient medication needs with community health workers, care coordinators, therapists, and other multidisciplinary team members
- Perform telephonic and SMS outreach to patients, providers, and pharmacies regarding medication access, non-adherence, drug utilization, and medication-related and disease-control HEDIS gaps
- Coordinate with external healthcare providers and Waymark care team colleagues to provide accurate medication information and facilitate medication access
- Answer, resolve, and triage inbound inquiries with the Waymark pharmacy team
- Assist with medication prior authorizations, formulary changes, side effects, and therapeutic substitutions
- Obtain and document medication information and verify eligibility, formulary, benefits, and allergy information
- Provide accurate and timely documentation to meet productivity and quality metrics
- Identify trends, resolve problems, recommend improvements, implement process changes, and improve productivity, quality, and customer experience
- Report to the Clinical Pharmacist Lead in Virginia
Requirements
What you’ll need- Current Virginia State Pharmacy Technician License in good standing
- PTCB CPhT Certification
- 2 or more years of experience working in outpatient, primary care, clinic-based, or managed care settings
- Experience with and commitment to improving care for underserved populations
- Ability to collaborate and communicate effectively in a multidisciplinary team setting
- Strong interpersonal communication skills and comfort proactively engaging patients, on-site clinicians, payors, and pharmacies by telephone
- Detail-oriented, customer service-oriented mindset and motivated problem-solving ability
- Proficiency navigating multiple computer systems, including spreadsheets and EHRs
- Reside within the state of Virginia
- Employment contingent upon successful completion of a background check
- Preferred: 3 or more years of experience in outpatient, primary care, clinic-based, or managed care settings
- Preferred: Experience in a call center handling pharmacy-related customer service requests and outbound calls
- Preferred: Experience navigating Virginia Medicaid prescription benefits for Medicaid and dual-eligible patients
- Preferred: Experience with lean process improvement or other quality improvement initiatives and developing and implementing operational workflows
- Preferred: Experience with EHR documentation
Benefits
Comp & perks- Stock options
- Work-from-home stipend for the first year to help set up a home office
- Performance-based incentive program
- Medical, vision, and dental coverage
- Basic life insurance
- 20 vacation days accrued over the year
- 11 paid holidays
- 16 weeks of paid leave for birthing parents after six months of employment
- 8 weeks of bonding leave for non-birthing parents
- 401(k) plan with a company contribution, subject to a vesting schedule
- Commuter benefits
- Professional development stipend