13 Pharmacy Practice jobs in Centennial
Clinical Pharmacist Telepharmacy PRN
80113 Centennial, Colorado
CommonSpirit Health
Posted 17 days ago
Job Viewed
Job Description
**Responsibilities**
**This is a remote position.**
**Incumbent must hold an unrestricted WA Pharmacy license.**
**Position Summary:**
The clinical pharmacist telepharmacy provides timely, accurate, and complete pharmaceutical care which includes performing daily pharmacist functions using standard techniques and procedures to process written and electronic medication orders issued by physicians and other qualified providers. This individual provides drug information, keeps pertinent records, oversees medication preparation and protects the well-being of patients by monitoring for adverse reactions, allergies, appropriate use and appropriate doses of ordered medications. The clinical staff telepharmacist uses clinical skills to monitor medication selection and dosage by order of the prescriber or approved medical staff protocols. The individual communicates with site staff when indicated for clarifications, dosage adjustments, lab monitoring and drug therapy recommendations. The role requires knowledge of a pharmacist scope of practice, current state requirements, other Federal or State regulatory agency requirements specific to medication order processing.
+ Reviews, verifies and interprets all physician orders received using the patient profile. Screens all medication orders for optimal medication usage and intervenes when appropriate within the standards of the clinical programs and client hospital protocols. This includes monitoring for medication allergies, drug interactions, renal and hepatic function, age-appropriate drug selection and dosage, duplicated orders, injectable compatibilities, concentrations, and administration rates.
+ Uses pharmacokinetic skills to determine dosing and to monitor patients' responses to selected drugs under order of the prescriber or by approved medical staff protocols in order to assure safe and consistent use of designated drugs.
+ Participates in continued education in pharmacy practice in order to meet regulatory requirements and organizational goals.
+ Supports and assists in meeting client hospital goals and specifications for order entry/verification, medication preparation and clinical programs.
+ Gives thorough, concise communication reports at time of order review or otherwise when appropriate detailing incomplete assignments and potential patient concerns to monitor in order to ensure continuity of medication therapy.
+ Performs other duties as deemed necessary by the Director, Managers or Supervisors of Telepharmacy in accordance with established client hospital policies and requirements of accrediting bodies.
**Qualifications**
**Minimum Qualifications:**
+ 3 years current acute care hospital pharmacy practice
+ Bachelors of Science in Pharmacy (B.S.), Masters or a Doctor of Pharmacy (Pharm.D.) from an accredited school of pharmacy
+ Current licensed Pharmacist within the state(s) centralized pharmacy services are provided.
+ Broad knowledge of pharmacy practice in an acute care hospital setting including a working knowledge of (but not limited to) IV fluids, sterile admixtures, total parenteral nutrition, narcotic and cardiac infusions, IV antibiotics, and chemotherapy.
+ Application of standards from regulatory agencies and accrediting organizations.
+ Operational knowledge of inpatient, and outpatient pharmacy practice and distributions systems.
+ Current dispensing and clinical practice techniques, principles, and practices.
+ Knowledge of drug utilization review, quality improvement techniques, and pharmacy automation.
+ Current dispensing and clinical practice techniques, principles, and practices.
**Overview**
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
**Pay Range**
$9.67 - 86.52 /hour
We are an equal opportunity employer.
**This is a remote position.**
**Incumbent must hold an unrestricted WA Pharmacy license.**
**Position Summary:**
The clinical pharmacist telepharmacy provides timely, accurate, and complete pharmaceutical care which includes performing daily pharmacist functions using standard techniques and procedures to process written and electronic medication orders issued by physicians and other qualified providers. This individual provides drug information, keeps pertinent records, oversees medication preparation and protects the well-being of patients by monitoring for adverse reactions, allergies, appropriate use and appropriate doses of ordered medications. The clinical staff telepharmacist uses clinical skills to monitor medication selection and dosage by order of the prescriber or approved medical staff protocols. The individual communicates with site staff when indicated for clarifications, dosage adjustments, lab monitoring and drug therapy recommendations. The role requires knowledge of a pharmacist scope of practice, current state requirements, other Federal or State regulatory agency requirements specific to medication order processing.
+ Reviews, verifies and interprets all physician orders received using the patient profile. Screens all medication orders for optimal medication usage and intervenes when appropriate within the standards of the clinical programs and client hospital protocols. This includes monitoring for medication allergies, drug interactions, renal and hepatic function, age-appropriate drug selection and dosage, duplicated orders, injectable compatibilities, concentrations, and administration rates.
+ Uses pharmacokinetic skills to determine dosing and to monitor patients' responses to selected drugs under order of the prescriber or by approved medical staff protocols in order to assure safe and consistent use of designated drugs.
+ Participates in continued education in pharmacy practice in order to meet regulatory requirements and organizational goals.
+ Supports and assists in meeting client hospital goals and specifications for order entry/verification, medication preparation and clinical programs.
+ Gives thorough, concise communication reports at time of order review or otherwise when appropriate detailing incomplete assignments and potential patient concerns to monitor in order to ensure continuity of medication therapy.
+ Performs other duties as deemed necessary by the Director, Managers or Supervisors of Telepharmacy in accordance with established client hospital policies and requirements of accrediting bodies.
**Qualifications**
**Minimum Qualifications:**
+ 3 years current acute care hospital pharmacy practice
+ Bachelors of Science in Pharmacy (B.S.), Masters or a Doctor of Pharmacy (Pharm.D.) from an accredited school of pharmacy
+ Current licensed Pharmacist within the state(s) centralized pharmacy services are provided.
+ Broad knowledge of pharmacy practice in an acute care hospital setting including a working knowledge of (but not limited to) IV fluids, sterile admixtures, total parenteral nutrition, narcotic and cardiac infusions, IV antibiotics, and chemotherapy.
+ Application of standards from regulatory agencies and accrediting organizations.
+ Operational knowledge of inpatient, and outpatient pharmacy practice and distributions systems.
+ Current dispensing and clinical practice techniques, principles, and practices.
+ Knowledge of drug utilization review, quality improvement techniques, and pharmacy automation.
+ Current dispensing and clinical practice techniques, principles, and practices.
**Overview**
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
**Pay Range**
$9.67 - 86.52 /hour
We are an equal opportunity employer.
Apply Now
0
Clinical Pharmacy Technician Sr
80238 Denver, Colorado
Prime Therapeutics
Posted 3 days ago
Job Viewed
Job Description
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Clinical Pharmacy Technician Sr
**Job Description**
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
**Responsibilities**
+ Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system.
+ Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
+ Escalates requests to Pharmacist when request requires extensive clinical review or denial.
+ Monitors telephone system to ensure adequate staffing to maintain client services levels.
+ Assesses training needs within the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.
+ Demonstrates, advocates and reinforces a positive team environment.
+ Other duties as assigned.
**Education & Experience**
+ Education Level
+ GED
+ High School
+ Required CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy
+ 2+ years Pharmacy
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
**Additional Qualifications**
+ Must have an active pharmacy technician licensure or registration in accordance with state requirements.
+ If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
+ In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
+ Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
+ In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).
+ Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.
+ Excellent written and verbal communication skills.
+ Ability to follow clinical criteria and instructions to approve prior authorization requests.
+ Minimum of 2 years dispensing or retail experience required, or equivalent internal training will be substituted.
+ Ability to identify and trouble-shoot problematic issues.
**Preferred Qualifications**
**Physical Demands**
+ Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
+ Must be able to constantly operate a computer and/or other office productivity equipment
+ Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?_
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1. or email
**Job Posting Title**
Clinical Pharmacy Technician Sr
**Job Description**
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
**Responsibilities**
+ Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system.
+ Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
+ Escalates requests to Pharmacist when request requires extensive clinical review or denial.
+ Monitors telephone system to ensure adequate staffing to maintain client services levels.
+ Assesses training needs within the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.
+ Demonstrates, advocates and reinforces a positive team environment.
+ Other duties as assigned.
**Education & Experience**
+ Education Level
+ GED
+ High School
+ Required CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy
+ 2+ years Pharmacy
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
**Additional Qualifications**
+ Must have an active pharmacy technician licensure or registration in accordance with state requirements.
+ If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
+ In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
+ Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
+ In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).
+ Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.
+ Excellent written and verbal communication skills.
+ Ability to follow clinical criteria and instructions to approve prior authorization requests.
+ Minimum of 2 years dispensing or retail experience required, or equivalent internal training will be substituted.
+ Ability to identify and trouble-shoot problematic issues.
**Preferred Qualifications**
**Physical Demands**
+ Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
+ Must be able to constantly operate a computer and/or other office productivity equipment
+ Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?_
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1. or email
View Now
1
Clinical Pharmacy Technician Sr
80238 Denver, Colorado
Prime Therapeutics
Posted 3 days ago
Job Viewed
Job Description
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Clinical Pharmacy Technician Sr
**Job Description**
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
**Responsibilities**
+ Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system.
+ Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
+ Escalates requests to Pharmacist when request requires extensive clinical review or denial.
+ Monitors telephone system to ensure adequate staffing to maintain client services levels.
+ Assesses training needs within the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.
+ Demonstrates, advocates and reinforces a positive team environment.
+ Other duties as assigned.
**Education & Experience**
+ Education Level
+ GED
+ High School
+ Required CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy
+ 2+ years Pharmacy
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
**Additional Qualifications**
+ Must have an active pharmacy technician licensure or registration in accordance with state requirements.
+ If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
+ In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
+ Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
+ In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).
+ Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.
+ Excellent written and verbal communication skills.
+ Ability to follow clinical criteria and instructions to approve prior authorization requests.
+ Minimum of 2 years dispensing or retail experience required, or equivalent internal training will be substituted.
+ Ability to identify and trouble-shoot problematic issues.
**Preferred Qualifications**
**Physical Demands**
+ Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
+ Must be able to constantly operate a computer and/or other office productivity equipment
+ Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?_
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1. or email
**Job Posting Title**
Clinical Pharmacy Technician Sr
**Job Description**
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
**Responsibilities**
+ Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system.
+ Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
+ Escalates requests to Pharmacist when request requires extensive clinical review or denial.
+ Monitors telephone system to ensure adequate staffing to maintain client services levels.
+ Assesses training needs within the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.
+ Demonstrates, advocates and reinforces a positive team environment.
+ Other duties as assigned.
**Education & Experience**
+ Education Level
+ GED
+ High School
+ Required CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy
+ 2+ years Pharmacy
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
**Additional Qualifications**
+ Must have an active pharmacy technician licensure or registration in accordance with state requirements.
+ If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
+ In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
+ Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
+ In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).
+ Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.
+ Excellent written and verbal communication skills.
+ Ability to follow clinical criteria and instructions to approve prior authorization requests.
+ Minimum of 2 years dispensing or retail experience required, or equivalent internal training will be substituted.
+ Ability to identify and trouble-shoot problematic issues.
**Preferred Qualifications**
**Physical Demands**
+ Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
+ Must be able to constantly operate a computer and/or other office productivity equipment
+ Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?_
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1. or email
View Now
2
Clinical Pharmacy Technician I
80238 Denver, Colorado
Prime Therapeutics
Posted 3 days ago
Job Viewed
Job Description
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Clinical Pharmacy Technician I
**Job Description**
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
**Responsibilities**
+ Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
+ Researches, resolves and documents prior authorization outcomes in pharmacy system.
+ Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician` office staff, medical management staff and/or pharmacists.
+ Escalates requests to Pharmacist when request requires extensive clinical review or denial.
+ Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management.
+ Performs other duties as required.
+ For CPTs assigned to work the fax queue, responsibilities will also include:
+ Clinically reviews coverage determinations with attention to detail, for medications via Fax. Communicates decision to physicians, physician s office staff, medical management staff and/or pharmacists within SLA (service level agreement) guidelines.
+ Efficiently multi-tasks and monitors several queues and assignments. Adapts to team requirements as business needs change (e.g., fax work, pending queues, oral notifications, and failed faxes).
**Education & Experience**
+ High school diploma from an accredited school or equivalent GED
+ Required CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy
+ Required Pharmacy Experience, 0-2 years
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
**Additional Qualifications**
+ Must have an active pharmacy technician licensure or registration in accordance with state requirements.
+ If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
+ In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
+ Active Pharmacist license supersedes requirement for CPT and/or PTCB.
+ Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
+ In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).
+ Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.
+ Excellent written and verbal communication skills.
+ Ability to follow clinical criteria and instructions to approve prior authorization requests.
+ Minimum of 6 months dispensing or retail experience required, or equivalent internal training will be substituted.
+ Ability to identify and trouble-shoot problematic issues.
**Preferred Qualifications**
**Physical Demands**
+ Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
+ Must be able to constantly operate a computer and/or other office productivity equipment
+ Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $17.85 - $25.48 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?_
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1. or email
**Job Posting Title**
Clinical Pharmacy Technician I
**Job Description**
Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.
**Responsibilities**
+ Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists.
+ Researches, resolves and documents prior authorization outcomes in pharmacy system.
+ Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician` office staff, medical management staff and/or pharmacists.
+ Escalates requests to Pharmacist when request requires extensive clinical review or denial.
+ Researches, resolves and documents physician or client inquiries and grievances and provides verbal or written results to client, prescriber, provider and/or management.
+ Performs other duties as required.
+ For CPTs assigned to work the fax queue, responsibilities will also include:
+ Clinically reviews coverage determinations with attention to detail, for medications via Fax. Communicates decision to physicians, physician s office staff, medical management staff and/or pharmacists within SLA (service level agreement) guidelines.
+ Efficiently multi-tasks and monitors several queues and assignments. Adapts to team requirements as business needs change (e.g., fax work, pending queues, oral notifications, and failed faxes).
**Education & Experience**
+ High school diploma from an accredited school or equivalent GED
+ Required CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy
+ Required Pharmacy Experience, 0-2 years
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
**Additional Qualifications**
+ Must have an active pharmacy technician licensure or registration in accordance with state requirements.
+ If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
+ In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
+ Active Pharmacist license supersedes requirement for CPT and/or PTCB.
+ Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
+ In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).
+ Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.
+ Excellent written and verbal communication skills.
+ Ability to follow clinical criteria and instructions to approve prior authorization requests.
+ Minimum of 6 months dispensing or retail experience required, or equivalent internal training will be substituted.
+ Ability to identify and trouble-shoot problematic issues.
**Preferred Qualifications**
**Physical Demands**
+ Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
+ Must be able to constantly operate a computer and/or other office productivity equipment
+ Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $17.85 - $25.48 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?_
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1. or email
View Now
3
Education & Outreach Supervisor, Clinical Pharmacy Operations
80238 Denver, Colorado
Prime Therapeutics
Posted 3 days ago
Job Viewed
Job Description
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Education & Outreach Supervisor, Clinical Pharmacy Operations
**Job Description**
Serves as a member of the Service Operations Management Team. Leads and grows the performance of a team of customer service agents while supporting and enhancing customer experiences and business objectives. Responsible for day-to-day tactical activities, performance trending, performance managing/ coaching/developing agents and time management. Responsible for the delivery of superior customer service by maximizing employee performance and ensuring calls are answered effectively and efficiently by supervising incoming calls, resolving escalated calls, assisting agents with any client related questions, ensuring agents adherence to schedules and ensuring compliance to policies and procedures. Motivates agents to peak performance through positive coaching, constructive feedback and incentives, demonstrates a commitment to the company`s mission and vision, and supports activities that strengthen the client relationship and grow the organization.
**Responsibilities**
+ Conduct regular meetings with external stakeholders and clients to gather requirements, align on project goals, and ensure clear communication throughout the project lifecycle.
+ Drives the daily performance of a team of customer service agents ensuring SLAs and other business targets are met and exceeded.
+ Collects and provides timely, productive and measurable feedback to ensure recognition, process changes and development opportunities are maximized.
+ Oversees the team`s annual goal setting process, performance evaluations and performance improvement plans.
+ Supports agents, business and brand initiatives, especially as related to achieving outstanding client experiences, including engaged daily floor support, escalated customer resolution and engagement in training and support areas as needed.
+ Remains alert to conversations on the floor, monitoring agents for quality and training purposes.
+ Reviews new and updated accounts with Agents (one-on-one).
+ Ensures agents compliance with policies and procedures.
+ Provides direction to agents on achieving departmental standards while encouraging and motivating them in promoting customer loyalty, employee recognition, and revenue generation.
+ Monitors call traffic and makes adjustments based on call center traffic patterns.
+ Produces monthly team report detailing team activity, trend analysis, goals/objective status and special projects.
+ Actively participates in process / project conversations, emails and activities that will improve effectiveness/experience for client, agents, leadership, brands or partner departments
+ Displays ownership and accountability for the customer experience, employee relations, core business metric targets/ contributing factors and understanding of the organizations policies and procedures.
+ Maintains reliability and flexibility to ensure team and business needs are appropriately supported.
+ Delegates work to agents as needed.
+ Proactively addresses call center concerns and identifies areas of opportunity.
+ Handles system emergencies with direction from IT department and/or appropriate vendor.
+ Assists with task assignments in the Manager's absence.
+ Performs other related duties and special projects as requested.
**Education & Experience**
+ Education Level
+ GED
+ High School
+ Required
+ Yes
+ Yes
+ Field of Study
+ Experience Level
+ 2+ years
+ 2+ years
+ Required
+ Yes
+ Yes
+ Details
+ Customer Service
+ PBM (Pharmacy Benefit Management)
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
**Additional Qualifications**
+ Must have an active pharmacy technician licensure or registration in accordance with state requirements.
+ If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
+ In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
+ Active pharmacist license supersedes requirement for CPT and/or PTCB.
+ Minimum of 3 years of experience in a high volume call center and Pharmacy Benefit Management (PBM) experience required.
+ For positions supporting Medicare Part B, requires 2+ years of experience in Medicare Part B.
**Preferred Qualifications**
+ 1 year of leadership/management experience in a direct or indirect capacity.
+ Client facing or client management experience preferred.
**Physical Demands**
+ Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
+ Must be able to constantly operate a computer and/or other office productivity equipment
+ Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $53,000.00 - $85,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?_
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1. or email
**Job Posting Title**
Education & Outreach Supervisor, Clinical Pharmacy Operations
**Job Description**
Serves as a member of the Service Operations Management Team. Leads and grows the performance of a team of customer service agents while supporting and enhancing customer experiences and business objectives. Responsible for day-to-day tactical activities, performance trending, performance managing/ coaching/developing agents and time management. Responsible for the delivery of superior customer service by maximizing employee performance and ensuring calls are answered effectively and efficiently by supervising incoming calls, resolving escalated calls, assisting agents with any client related questions, ensuring agents adherence to schedules and ensuring compliance to policies and procedures. Motivates agents to peak performance through positive coaching, constructive feedback and incentives, demonstrates a commitment to the company`s mission and vision, and supports activities that strengthen the client relationship and grow the organization.
**Responsibilities**
+ Conduct regular meetings with external stakeholders and clients to gather requirements, align on project goals, and ensure clear communication throughout the project lifecycle.
+ Drives the daily performance of a team of customer service agents ensuring SLAs and other business targets are met and exceeded.
+ Collects and provides timely, productive and measurable feedback to ensure recognition, process changes and development opportunities are maximized.
+ Oversees the team`s annual goal setting process, performance evaluations and performance improvement plans.
+ Supports agents, business and brand initiatives, especially as related to achieving outstanding client experiences, including engaged daily floor support, escalated customer resolution and engagement in training and support areas as needed.
+ Remains alert to conversations on the floor, monitoring agents for quality and training purposes.
+ Reviews new and updated accounts with Agents (one-on-one).
+ Ensures agents compliance with policies and procedures.
+ Provides direction to agents on achieving departmental standards while encouraging and motivating them in promoting customer loyalty, employee recognition, and revenue generation.
+ Monitors call traffic and makes adjustments based on call center traffic patterns.
+ Produces monthly team report detailing team activity, trend analysis, goals/objective status and special projects.
+ Actively participates in process / project conversations, emails and activities that will improve effectiveness/experience for client, agents, leadership, brands or partner departments
+ Displays ownership and accountability for the customer experience, employee relations, core business metric targets/ contributing factors and understanding of the organizations policies and procedures.
+ Maintains reliability and flexibility to ensure team and business needs are appropriately supported.
+ Delegates work to agents as needed.
+ Proactively addresses call center concerns and identifies areas of opportunity.
+ Handles system emergencies with direction from IT department and/or appropriate vendor.
+ Assists with task assignments in the Manager's absence.
+ Performs other related duties and special projects as requested.
**Education & Experience**
+ Education Level
+ GED
+ High School
+ Required
+ Yes
+ Yes
+ Field of Study
+ Experience Level
+ 2+ years
+ 2+ years
+ Required
+ Yes
+ Yes
+ Details
+ Customer Service
+ PBM (Pharmacy Benefit Management)
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
**Additional Qualifications**
+ Must have an active pharmacy technician licensure or registration in accordance with state requirements.
+ If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
+ In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
+ Active pharmacist license supersedes requirement for CPT and/or PTCB.
+ Minimum of 3 years of experience in a high volume call center and Pharmacy Benefit Management (PBM) experience required.
+ For positions supporting Medicare Part B, requires 2+ years of experience in Medicare Part B.
**Preferred Qualifications**
+ 1 year of leadership/management experience in a direct or indirect capacity.
+ Client facing or client management experience preferred.
**Physical Demands**
+ Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
+ Must be able to constantly operate a computer and/or other office productivity equipment
+ Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $53,000.00 - $85,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?_
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1. or email
View Now
4
Clinical Pharmacy Specialist - Infectious Disease - Denver
80238 Denver, Colorado
Kaiser Permanente
Posted 3 days ago
Job Viewed
Job Description
Job Summary:
Develops, implements, and evaluates regional clinical pharmacy programs for patients, providers, and pharmacists. Maintains a clinical pharmacy practice to impact patients at high risk for drug-related problems in area of expertise. Educates providers, pharmacists and other health care professionals. Makes members/patients and their needs a primary focus of ones actions; develops and sustains productive member/patient relationships. Maintains knowledge of and assures departmental compliance with Kaiser Permanentes Principles of Responsibility and policies and procedures, and applicable regulatory requirements and accreditation standards.
Essential Responsibilities:
+ This position, knows and complies with all Kaiser Permanente quality, safety, and emergency policies and procedures. Demonstrates quality and effectiveness in work habits and clinical practice in every interaction with patients, colleagues, providers, and leadership. Ensures patient safety in the preparation and provisioning of care related to but not limited to medications, procedures, infection prevention, fall prevention, including consistent use of two patient identifiers and procedural time outs. Reports safety hazards, accidents and incidents, and unsafe working conditions promptly.
+ Develops and maintains a clinical pharmacy practice that includes: Drug therapy consultations for members and healthcare providers. Participates in drug use initiatives. Provides continuing education and staff development in-services for pharmacists, physicians, and other health care providers. Provides drug information to health care providers and members. Reviews, critically, medical literature to provide updates on drug therapy.
+ Participates in local, regional and interregional committees as appropriate.
+ Precepts pharmacy students and residents.
+ Develops and participates in research activities.
Basic Qualifications:
Experience
At least one (1) of the following: PGY2 residency or fellowship (Board Certification required within three (3) years of employment) OR PGY1 residency and a minimum three (3) years of clinical experience (in related field) and board certification OR no residency and a minimum five (5) years of clinical experience (in related field) and board certification.
Education
+ Doctor of Pharmacy degree.
License, Certification, Registration
+ Pharmacist License (Colorado) required at hire
+ National Provider Identifier required at hire
Additional Requirements:
+ Board certification required within three (3) years of employment if previous experience includes PGY2 residency or fellowship.
+ Board certification required immediately if previous experience does not include PGY2 residency or fellowship.
+ Taxonomy code required at time of hire.
Preferred Qualifications:
Notes:
+ Effort Allocation:
Infectious Disease (50%)
Pulmonology (30%)
Clinical Pharmacy Operations (20%)
COMPANY: KAISER
TITLE: Clinical Pharmacy Specialist - Infectious Disease - Denver
LOCATION: Denver, Colorado
REQNUMBER: 1367497
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
Develops, implements, and evaluates regional clinical pharmacy programs for patients, providers, and pharmacists. Maintains a clinical pharmacy practice to impact patients at high risk for drug-related problems in area of expertise. Educates providers, pharmacists and other health care professionals. Makes members/patients and their needs a primary focus of ones actions; develops and sustains productive member/patient relationships. Maintains knowledge of and assures departmental compliance with Kaiser Permanentes Principles of Responsibility and policies and procedures, and applicable regulatory requirements and accreditation standards.
Essential Responsibilities:
+ This position, knows and complies with all Kaiser Permanente quality, safety, and emergency policies and procedures. Demonstrates quality and effectiveness in work habits and clinical practice in every interaction with patients, colleagues, providers, and leadership. Ensures patient safety in the preparation and provisioning of care related to but not limited to medications, procedures, infection prevention, fall prevention, including consistent use of two patient identifiers and procedural time outs. Reports safety hazards, accidents and incidents, and unsafe working conditions promptly.
+ Develops and maintains a clinical pharmacy practice that includes: Drug therapy consultations for members and healthcare providers. Participates in drug use initiatives. Provides continuing education and staff development in-services for pharmacists, physicians, and other health care providers. Provides drug information to health care providers and members. Reviews, critically, medical literature to provide updates on drug therapy.
+ Participates in local, regional and interregional committees as appropriate.
+ Precepts pharmacy students and residents.
+ Develops and participates in research activities.
Basic Qualifications:
Experience
At least one (1) of the following: PGY2 residency or fellowship (Board Certification required within three (3) years of employment) OR PGY1 residency and a minimum three (3) years of clinical experience (in related field) and board certification OR no residency and a minimum five (5) years of clinical experience (in related field) and board certification.
Education
+ Doctor of Pharmacy degree.
License, Certification, Registration
+ Pharmacist License (Colorado) required at hire
+ National Provider Identifier required at hire
Additional Requirements:
+ Board certification required within three (3) years of employment if previous experience includes PGY2 residency or fellowship.
+ Board certification required immediately if previous experience does not include PGY2 residency or fellowship.
+ Taxonomy code required at time of hire.
Preferred Qualifications:
Notes:
+ Effort Allocation:
Infectious Disease (50%)
Pulmonology (30%)
Clinical Pharmacy Operations (20%)
COMPANY: KAISER
TITLE: Clinical Pharmacy Specialist - Infectious Disease - Denver
LOCATION: Denver, Colorado
REQNUMBER: 1367497
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
View Now
5
Clinical Pharmacy Specialist - Infectious Disease - Denver (Denver)
80202 Thornton, Colorado
Kaiser Permanente
Posted today
Job Viewed
Job Description
Job Summary:
Develops, implements, and evaluates regional clinical pharmacy programs for patients, providers, and pharmacists. Maintains a clinical pharmacy practice to impact patients at high risk for drug-related problems in area of expertise. Educates providers, pharmacists, and other healthcare professionals. Focuses on members/patients and their needs, developing and maintaining productive relationships. Ensures departmental compliance with Kaiser Permanente's Principles of Responsibility, policies, procedures, regulatory requirements, and accreditation standards.
Essential Responsibilities:
- Adheres to all Kaiser Permanente quality, safety, and emergency policies and procedures. Demonstrates quality and effectiveness in work habits and clinical practice, ensuring patient safety in medication management, procedures, infection prevention, and fall prevention. Reports safety hazards and incidents promptly.
- Develops and maintains a clinical pharmacy practice, including drug therapy consultations, participation in drug use initiatives, and providing continuing education for healthcare professionals. Provides drug information and reviews medical literature for updates on drug therapy.
- Participates in local, regional, and interregional committees as appropriate.
- Precepts pharmacy students and residents.
- Develops and participates in research activities.
View Now
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6
Clinical Programs Pharmacy Technician Representative
80238 Denver, Colorado
CenterWell
Posted 2 days ago
Job Viewed
Job Description
**Become a part of our caring community and help us put health first**
The Rx Clinical Programs Pharmacy Technician Representative 2 supports Pharmacists and patients by executing programs developed to improve overall health outcomes with a focus on prescription drugs, and medication therapy and helps drive the strategy on comprehensive medication reviews. The Rx Clinical Programs Pharmacy Technician Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
The Rx Clinical Programs Pharmacy Technician Representative 2 assists in driving prescription drug optimization in cases where patients are taking multiple medications. Through effective communication, helps drive health awareness with patients through Rx Education and targeted quarterly campaigns. Assists Pharmacists by placing and retrieving calls to confirm patients are taking drugs and provides counseling. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
In this role, you will:
+ Make outbound and take inbound calls
+ Communicate with Humana members
+ Collect medication history information
+ Prepare members for a comprehensive medication review
**Use your skills to make an impact**
***PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) *** ?
**Required Qualifications**
+ **Resident State Pharmacy Technician License** **OR** **National Pharmacy Technician Certification**
+ High School Diploma or equivalent
+ Excellent communication skills both written and verbal
+ Applied knowledge of insurance processing, customer service or call center processes and practices
+ High speed hardwired internet and phone, minimum speed 20Mbps
+ Must have a designated work area with a door that locks
**Schedule:** Must have the flexibility to work any hours between 8:00am-7:00pm EST and holidays/weekends and overtime as needed.
+ **You must be on time, dressed appropriately, with your camera ON during 2+ weeks of training and for other meetings required by leadership** .
Attendance is vital for success, time off during your 180-day appraisal period is not permitted. Exception: Should a Humana-observed holiday occur during training or within the 180-day appraisal period, you will have the holiday off (paid).
**Preferred Qualifications**
+ Associate's degree or equivalent work experience
+ Experience in mail order and/or retail pharmacy setting
+ Ability to speak both English and Spanish fluently
+ Previous call center experience in a pharmacy setting
+ Strong communication and telephonic skills
+ Ability to solve problems and encourage others in collaborative problem solving
+ Self-directed, but also able to work well in a group
+ A positive, proactive attitude, energetic, highly motivated and a self-starter
+ Work ethic that is focused, accurate and highly productive
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$40,000 - $52,300 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
?
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options
The Rx Clinical Programs Pharmacy Technician Representative 2 supports Pharmacists and patients by executing programs developed to improve overall health outcomes with a focus on prescription drugs, and medication therapy and helps drive the strategy on comprehensive medication reviews. The Rx Clinical Programs Pharmacy Technician Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.
The Rx Clinical Programs Pharmacy Technician Representative 2 assists in driving prescription drug optimization in cases where patients are taking multiple medications. Through effective communication, helps drive health awareness with patients through Rx Education and targeted quarterly campaigns. Assists Pharmacists by placing and retrieving calls to confirm patients are taking drugs and provides counseling. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
In this role, you will:
+ Make outbound and take inbound calls
+ Communicate with Humana members
+ Collect medication history information
+ Prepare members for a comprehensive medication review
**Use your skills to make an impact**
***PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) *** ?
**Required Qualifications**
+ **Resident State Pharmacy Technician License** **OR** **National Pharmacy Technician Certification**
+ High School Diploma or equivalent
+ Excellent communication skills both written and verbal
+ Applied knowledge of insurance processing, customer service or call center processes and practices
+ High speed hardwired internet and phone, minimum speed 20Mbps
+ Must have a designated work area with a door that locks
**Schedule:** Must have the flexibility to work any hours between 8:00am-7:00pm EST and holidays/weekends and overtime as needed.
+ **You must be on time, dressed appropriately, with your camera ON during 2+ weeks of training and for other meetings required by leadership** .
Attendance is vital for success, time off during your 180-day appraisal period is not permitted. Exception: Should a Humana-observed holiday occur during training or within the 180-day appraisal period, you will have the holiday off (paid).
**Preferred Qualifications**
+ Associate's degree or equivalent work experience
+ Experience in mail order and/or retail pharmacy setting
+ Ability to speak both English and Spanish fluently
+ Previous call center experience in a pharmacy setting
+ Strong communication and telephonic skills
+ Ability to solve problems and encourage others in collaborative problem solving
+ Self-directed, but also able to work well in a group
+ A positive, proactive attitude, energetic, highly motivated and a self-starter
+ Work ethic that is focused, accurate and highly productive
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$40,000 - $52,300 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
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**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options
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7
Pharmacy Technician II, Central Clinical Support Pharmacy Services - Office Based
80285 Denver, Colorado
Denver Health
Posted 1 day ago
Job Viewed
Job Description
We are recruiting for a motivated Pharmacy Technician II, Central Clinical Support Pharmacy Services - Office Based to join our team!We are here for life's journey.Where is your life journey taking you?Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all:Humanity in action, Triumph in hardship, Transformation in health.DepartmentCentral Clinical SupportJob SummaryThe Pharmacy Technician II, under general supervision of a pharmacist, performs technical tasks within the pharmacy department. Based on area of assignment, responsibilities may include medication preparation, compounding, dispensing, inventory control, unit dose prepackaging, and basic computer system operations. Demonstrates the ability to competently work in general some specialty areas of pharmacy practice. Essential Functions: Fills and delivers/dispenses medications under the supervision of a licensed pharmacist. Performs introductory technical tasks in specialty areas such as medication histories, sterile and non-sterile preparation, payer adjudication, call center, clinical pharmacy support, inventory management including controlled substance handling and accountability, and repackaging. Uses appropriate systems for processing of patient information. (50%) Triages and escalates any questions or issues outside the pharmacy technician scope of practice to the staff pharmacist or supervisor as needed. (30%) Ensures adequate supplies are available for continuous patient care. Operates pharmacy equipment appropriately. (20%) Education:High School Diploma or GED Required and Post High School Diploma or Certificate Program completion of a pharmacy technician training program, preferred Work Experience:1-3 years At least one year of pharmacy technician in a healthcare or retail setting Required Licenses:CPHT-Certified Pharmacy Technician - PTCB - Pharmacy Technician Certification Board Required and PHAT-Licensed Pharmacy Technician - DORA - Department of Regulatory Agencies Required Knowledge, Skills and Abilities:Ability to work as a team memberAttention to detailKnowledge of basic pharmacy practices and proceduresMathematical computation skillsOrganization and communication skillsGood typing, keyboarding and proofreading skillsAbility to work independently within pharmacy scope of practiceKnowledge of prescription processing and third-party billing, if applicableProficiency with Microsoft® Office, preferredShiftDays (United States of America)Work TypeRegularSalary$22.16 - $31.02 / hrBenefitsOutstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plansFree RTD EcoPass (public transportation)On-site employee fitness center and wellness classesChildcare discount programs & exclusive perks on large brands, travel, and moreTuition reimbursement & assistanceEducation & development opportunities including career pathways and coachingProfessional clinical advancement program & shared governancePublic Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF programNational Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employerOur ValuesRespectBelongingAccountabilityTransparencyAll job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.Applicants will be considered until the position is filled.
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8
Medication Therapy Management (MTM) Technician
80238 Denver, Colorado
Prime Therapeutics
Posted 3 days ago
Job Viewed
Job Description
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Medication Therapy Management (MTM) Technician
**Job Description**
The MTM Technician is responsible for both making outbound and receiving inbound calls to qualified entities across all lines of business to support the Centers for Medicare & Medicaid Services (CMS) Star and HEDIS quality measure programs, including but not limited to: Medication Therapy Management (MTM), Adherence, and Statin use in Persons with Diabetes (SUPD) programs. This position communicates with providers, members, and pharmacies to gather and document accurate clinical information about qualified members' medications and disease states related to the Star and HEDIS quality measures programs and processes.
**Responsibilities**
+ Receive inbound and make outbound calls to eligible beneficiaries to schedule MTM clinician interventions in a manner that meets the specialized needs of the targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant
+ Utilize Prime's MTM process management system to record member specific information
+ Assess beneficiary information to ensure appropriate interaction is scheduled with appropriate MTM clinician (i.e., Pharmacist)
+ Perform outreach calls to pharmacies to research contact information
+ Address and triage queries regarding MTM related topics by transferring calls to MTM staff or other department help lines
+ Document MTM eligibility and program status in the applicable software systems (i.e., MSA Toolbox, RX Claim)
+ Other responsibilities as assigned
**Education & Experience**
+ High School diploma from an accredited school or equivalent GED
+ 1 year of work experience in customer service
+ Must be eligible to work in the United States without need for work visa or residency sponsorship
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
**Additional Qualifications**
+ Has suitable home office (i.e., chair, desk, internet, etc.) that meet Prime required standards (if work from home position)
+ Strong interpersonal communication skills with focus on professional demeanor and empathy
+ Strong verbal and written communication and problem-solving skills
+ Strong organization skills with the ability to handle multiple tasks, prioritize and meet deadlines
+ Proficient in Excel, Word, and system operations (e.g. workflow processes and case management)
+ Government programs (Medicare) knowledge
**Preferred Qualifications**
+ Contact Center experience
+ Pharmacy and/or PBM experience
+ 1 year of experience in healthcare industry
+ Experience working with highly confidential medical information
+ CPhT certification
+ Fluency in another language (Spanish)
**Physical Demands**
+ Ability to sit 6 or more hours per day
+ Occasionally required to stand, walk and stoop, kneel, and crouch
+ Ability to work a flexible schedule including evenings, weekends, holidays, overtime
+ Ability to work a set, pre-determined break and lunch schedule
+ Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $17.85 - $25.48 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?_
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1. or email
**Job Posting Title**
Medication Therapy Management (MTM) Technician
**Job Description**
The MTM Technician is responsible for both making outbound and receiving inbound calls to qualified entities across all lines of business to support the Centers for Medicare & Medicaid Services (CMS) Star and HEDIS quality measure programs, including but not limited to: Medication Therapy Management (MTM), Adherence, and Statin use in Persons with Diabetes (SUPD) programs. This position communicates with providers, members, and pharmacies to gather and document accurate clinical information about qualified members' medications and disease states related to the Star and HEDIS quality measures programs and processes.
**Responsibilities**
+ Receive inbound and make outbound calls to eligible beneficiaries to schedule MTM clinician interventions in a manner that meets the specialized needs of the targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant
+ Utilize Prime's MTM process management system to record member specific information
+ Assess beneficiary information to ensure appropriate interaction is scheduled with appropriate MTM clinician (i.e., Pharmacist)
+ Perform outreach calls to pharmacies to research contact information
+ Address and triage queries regarding MTM related topics by transferring calls to MTM staff or other department help lines
+ Document MTM eligibility and program status in the applicable software systems (i.e., MSA Toolbox, RX Claim)
+ Other responsibilities as assigned
**Education & Experience**
+ High School diploma from an accredited school or equivalent GED
+ 1 year of work experience in customer service
+ Must be eligible to work in the United States without need for work visa or residency sponsorship
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
**Additional Qualifications**
+ Has suitable home office (i.e., chair, desk, internet, etc.) that meet Prime required standards (if work from home position)
+ Strong interpersonal communication skills with focus on professional demeanor and empathy
+ Strong verbal and written communication and problem-solving skills
+ Strong organization skills with the ability to handle multiple tasks, prioritize and meet deadlines
+ Proficient in Excel, Word, and system operations (e.g. workflow processes and case management)
+ Government programs (Medicare) knowledge
**Preferred Qualifications**
+ Contact Center experience
+ Pharmacy and/or PBM experience
+ 1 year of experience in healthcare industry
+ Experience working with highly confidential medical information
+ CPhT certification
+ Fluency in another language (Spanish)
**Physical Demands**
+ Ability to sit 6 or more hours per day
+ Occasionally required to stand, walk and stoop, kneel, and crouch
+ Ability to work a flexible schedule including evenings, weekends, holidays, overtime
+ Ability to work a set, pre-determined break and lunch schedule
+ Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $17.85 - $25.48 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?_
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1. or email
View Now
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