Note: The job is a remote job and is open to candidates in USA. Blue Cross and Blue Shield of Minnesota is dedicated to transforming healthcare and is seeking a Senior Clinical Pharmacy Technician to improve medication-related outcomes for members. The role involves working closely with members, pharmacies, and care teams to optimize medication regimens and ensure adherence to medications.
Responsibilities
- Support pharmacists by pre-charting and reviewing pharmacy claims information to assist with member outreach
- Conduct outbound calls for refill reminders, adherence checks, and follow-up
- Assist with medication reconciliation by loading prescription claims and medication administration records into a member’s medication list within an electronic health record
- Document clinical responses from member outreach within an electronic health record to track interventions and medication adherence issues
- Schedule comprehensive medication management visits with pharmacists for members who have multiple medications/chronic conditions, including cross departmental referrals
- Participate in other population health-based interventions that impact Star Ratings and/or HEDIS quality measures
Skills
- 5+ years of related experience. All relevant experience including work, education, transferable skills, and military experience will be considered
- Current Pharmacy Registration and Certification (Certified Pharmacy Technician)
- At least 5 years of experience in ambulatory care/clinic/outpatient pharmacy, discharge, or health plan quality setting
- Clear knowledge of the top 100 commonly prescribed medication names and classes
- Experience researching medication claims history and/or escalations
- Direct patient care experience and/or customer service experience
- Microsoft/Outlook experience
- High school diploma (or equivalency) and legal authorization to work in the U.S
- Experience and knowledge working with MTM program(s) in a clinic/retail setting
- Experience with Medicare Star Ratings and HEDIS Quality measures
- Excellent verbal and written communication skills
- Epic electronic health record experience
- Learns quickly and adapts to change
- Acquires and maintains high accuracy and attention to detail
Benefits
- Medical, dental, and vision insurance
- Life insurance
- 401k
- Paid Time Off (PTO)
- Volunteer Paid Time Off (VPTO)
Company Overview
About Blue Cross Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives. It was founded in 1933, and is headquartered in Eagan, Minnesota, USA, with a workforce of 1001-5000 employees. Its website is https://www.bluecrossmn.com.