Pharmacy Technician, Clinical Services

Department: Pharmacy

Reports to: Supervisor, Pharmacy

Location: George Rd., Tampa, FL 33634

Supports the efforts of the clinical team through collaboration with prescribers and targeted beneficiaries in order to ensure appropriate, evidence-based drug selection and resolve medication-related problems.

Essential Functions:
  • Engages in drug utilization review (DUR) by supporting the execution of DUR initiatives via meeting preparation, letter campaigns, and telephonic outreach to members/providers. Supports basic data analytic activities and tracking of interventions, and assists with preparation and documentation of responses to regulatory audits associated with the over utilization program.
  • Provides medication therapy management (MTM) services via triage of inbound calls to the MTM hotline, monitors fax line for prescriber responses and completion of failed faxes, supports the pharmacist for completion of Comprehensive Medication Reviews (CMRs) through pre-work up and case preparation, communicates with network pharmacies, prescribers, and beneficiaries to provide MTM services.
  • Engages in quality improvement projects including supporting the execution of prescriber mailings and tracking and maintaining physician and member responses regarding pharmacy quality outreach campaigns.
  • Documents and records services/activities in appropriate databases/software to ensure compliance with CMS requirements for clinical service offerings assigned in designated area (i.e. MTM services, Quality Improvement Projects, DUR, etc.).
  • Serve as backup for technicians in the other clinical service departments (Drug Utilization Review, Medication Therapy Management, Quality Improvement).
  • Performs other duties as assigned.
Additional Responsibilities:
Candidate Education:
  • Required A High School or GED
Candidate Experience:
  • Required 1 year of experience in pharmacy operations managed care, hospitals, and/or retail environments
Candidate Skills:
  • Intermediate Demonstrated interpersonal/verbal communication skills
  • Beginner Demonstrated written communication skills
  • Intermediate Ability to effectively present information and respond to questions from peers and management
Licenses and Certifications:
  • Preferred
Technical Skills:
  • Preferred Intermediate Microsoft Excel
  • Preferred Intermediate Microsoft Outlook
  • Preferred Intermediate Microsoft Word
  • Preferred Intermediate Microsoft PowerPoint
Languages:
  • Required English
  • Preferred Spanish

About us
Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses exclusively on providing government-sponsored managed care services through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans to families, children, seniors and individuals with complex medical needs. WellCare is a Fortune 500 company, and in 2018, was recognized as a Fortune "World's Most Admired Company", ranking in the top five among the health insurance and managed care industry-a testament to the hard work and dedication of the company's nearly 9,000 associates who each day live WellCare's values and deliver on its mission to help its members live better, healthier lives. The company serves approximately 4.4 million members nationwide as of Dec. 31, 2017. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.