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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in providing telephonic support for Medicaid patients, coordinating medication needs, and collaborating with multidisciplinary teams. Proficient in navigating EMRs and multiple computer systems while maintaining a detail-oriented and customer service-focused approach.
Highest-signal resume keywords
Ohio State Pharmacy Technician LicensePTCB CPhT CertificationExperience in Outpatient CareMedication Access CoordinationStrong 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 ChangesDrug Utilization ActivitiesHEDIS GapsProcess ImprovementEMR DocumentationTelephonic OutreachPatient EngagementProblem-SolvingDetail-Oriented
Soft Skills
Customer Service OrientationEffective CollaborationMotivated Problem-SolvingInterpersonal CommunicationProactive Engagement
Tools & Technologies
SpreadsheetsEMRsTelehealth ModalitiesSMS CommunicationVideo Telehealth
Certifications & Qualifications
Ohio State Pharmacy Technician LicensePTCB CPhT Certification
Industry Keywords
MedicaidManaged CareOutpatient SettingsUnderserved PopulationsQuality Improvement Initiatives
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 durable medical equipment, and elevate prescription needs to providers
- Interact with patients through SMS, phone, and app-free video telehealth modalities
- Coordinate patient medication needs with community health workers, care coordinators, and therapists
- Perform telephonic and SMS outreach to patients, providers, and pharmacies regarding medication access, non-adherence, drug utilization activities, and HEDIS gaps
- Coordinate with external healthcare providers and Waymark care team colleagues to provide timely medication information and facilitate medication access
- Answer, resolve, and triage inbound pharmacy inquiries
- 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, and implement process changes in an evolving startup environment
- Report to the Clinical Pharmacist Lead in Ohio
Requirements
What you’ll need- Current Ohio 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 healthcare 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
- Ability to navigate multiple computer systems proficiently, including spreadsheets and EMRs
- Must reside within the state of Ohio
- Offer of employment contingent upon successful completion of a background check
- Preferred: 3 or more years of relevant experience
- Preferred: Experience working in a call center handling pharmacy-related customer service requests
- Preferred: Experience navigating Ohio 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 EMR 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
