Note: The job is a remote job and is open to candidates in USA. Highmark Inc. is a healthcare company seeking a Clinical Pharmacy Technician. This role involves coordinating member and provider outreach activities, focusing on non-clinical tasks such as prescriber outreach and benefits investigations to ensure accurate information gathering and communication.
Responsibilities
- Conducts member outreach in a professional, courteous, and service‑focused manner, gathers and verifies, patient information prior to transferring cases to a pharmacist, ensuring completeness and accuracy. Supports timely processing of requests by following established workflows, turnaround time expectations, and regulatory requirements
- Performs prescriber office outreach to initiate changes, obtain documentation, clarify medication information, and resolve non‑clinical case needs
- Completes benefits investigations, including eligibility verification, formulary coverage clarification, and cost‑share determination
- Prepares non‑clinical components of medication‑related cases for pharmacist review, ensuring all required information is assembled. Documents clearly, accurately, and thoroughly in all appropriate record systems, ensuring information is complete and up to date
- Serves as a liaison between members, providers, and internal pharmacy teams to resolve non‑clinical issues efficiently, including identifying opportunities for improving outreach processes, documentation quality, and operational efficiency
- Escalates clinical concerns, incomplete information, or red flags or issues to pharmacists for further review and decision‑making
Skills
- 2 years of experience as a patient facing Pharmacy Technician in a hospital, retail, or managed care setting
- High School/GED
- Certified Pharmacy Technician (CPhT)
- Registered Pharmacy Technician in Pennsylvania and/or applicable state
- Strong knowledge of medical and pharmaceutical terminology
- Strong verbal and written communication skills
- Well organized, paying close attention to detail
- Ability to identify and resolve problems
- Ability to handle multiple priorities in a timely manner
- Strong interpersonal skills
- Ability to work independently or in a team environment
- Customer oriented
- Proficient with Microsoft Office products (i.e. Word, Excel, Powerpoint, etc.)
- Associates degree
Benefits
- Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
- The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
- Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
- We endeavor to make this site accessible to any and all users.
- If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
- For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
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