EmblemHealth · 2 months ago
Pharmacy Technician, Quality - Hybrid
New York, NY
Full-time
Hybrid
Mid, Senior Level
$56K/yr - $99K/yr
3+ years expEmblemHealth is seeking a Pharmacy Technician in a hybrid role to collaborate with pharmacists and engage health plan members to improve medication adherence. The technician will play a critical role in outreach efforts, addressing barriers to adherence, and enhancing member satisfaction through effective communication and support.
InsuranceNon ProfitWellness
Responsibilities
Engage with members to understand reasons for non-adherence
Craft and deliver empathetic, culturally sensitive, and solution-oriented support to members during outreach
Provide a positive member experience by reinforcing the importance of medication adherence and connecting members to appropriate resources
Identify barriers to adherence and support resolution of common issues such as refill delays, cost concerns, or lack of understanding of medication purpose
Develop and document outreach efforts while maintaining detailed and accurate records of member interactions to ensure timely and effective communication
Escalate clinical concerns to pharmacists as needed
Adhere to all regulatory, privacy, and compliance standards in member communications and data handling
Ensure all outreach activities are conducted in accordance with organizational policies and clinical protocols
Work closely with the Quality Pharmacy Team to align outreach strategies with organizational goals and quality initiatives
Participate in regular team huddles or strategy sessions to share insights and improve outreach effectiveness
Manage multiple outreach tasks and follow-ups efficiently, ensuring timely and accurate documentation
Prioritize work based on member needs, outreach schedules, and team objectives
Qualification
Required
Associates degree; bachelor's degree preferred
National Pharmacy Technician Certification required, or must be obtained within 6 months of hire date as a condition of continued employment; and certification must be maintained while employed in this role (Required)
3 – 5+ years of relevant, professional work experience (Required)
2+ years of pharmacy related experience (Required)
2+ years of call center customer service experience (Required)
Additional experience / specialized training may be considered in lieu of degree requirement (Required)
Claim system knowledge with ability to analyze pharmacy claims (Required)
Knowledge of Medicare Part D (Required)
Excellent communication skills with employees, practitioners and members regarding verification and explanation of pharmacy benefits (Required)
Excellent organizational, prioritization and time management skills (Required)
Detail oriented with strong analytical, problem solving and follow up skills (Required)
Work independently within a team environment with/little direct supervision (Required)
Demonstrated proficiency using personal computers, MS Office software including Word, Excel, and Access (Required)
Ability to work in a high pace, stress environment (Required)
Company
EmblemHealth
EmblemHealth is an insurance and wellness company that offers health benefits to consumers, employers, and government purchasers.
1001-5000 employees
H1B Sponsorship
EmblemHealth has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
2023 (2)
2021 (2)
2020 (4)
Funding
Current Stage
Late StageLeadership Team
M
Michael Collins
Vice President CRM Applications
Recent News
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