Key Responsibilities

1. Medication Adherence & Quality Measures

• Monitor and track patient adherence to medications tied to NCQA measures (e.g., statins, diabetes, hypertension)
• Conduct outreach to patients to improve adherence and close care gaps
• Document and support quality metric performance initiatives

2. Prior Authorization Support

• Assist with prior authorizations during coverage gaps or high-volume periods
• Ensure timely submission and follow-up with payers
• Reduce delays in medication access and therapy initiation

3. Patient Assistance & Access Programs

• Enroll and support patients in internal medication assistance programs (MAP) and manufacturer programs
• Collect, verify, and maintain required documentation
• Help reduce financial barriers to medication access

4. Internal Prescription Capture

• Promote use of internal pharmacy services
• Coordinate prescription transfers, refills, and medication synchronization
• Address patient barriers related to cost, access, and convenience

5. Support of Clinical Pharmacist Services

• Perform operational tasks to allow pharmacists to focus on:
  • Hypertension management
  • Diabetes/A1C optimization
  • High-risk patient interventions
• Support initiatives tied to triple-weighted quality measures

6. Data Tracking & Reporting

• Track and document:
  • Medication adherence metrics
  • Prior authorization outcomes
  • Patient assistance enrollment
  • Prescription capture rates
• Assist in reporting for quality programs and performance improvement.

Qualifications:

Education

• High school diploma or equivalent required
• Pharmacy Technician Certification (CPhT or equivalent) required

Experience

• Minimum 2 years of pharmacy technician experience preferred
• Experience in one or more of the following strongly preferred:
  • Ambulatory care or clinical pharmacy
  • Specialty pharmacy
  • Medication assistance programs
  • Prior authorization workflows

Skills & Competencies

• Strong understanding of medication adherence and chronic disease management
• Knowledge of insurance processes, including Medicare Advantage and commercial plans
• Excellent communication and patient engagement skills
• Ability to manage multiple workflows and prioritize tasks
• Detail-oriented with strong documentation skills