
1001 - 5000 employees
đĽ Healthcare
âď¸ Healthcare Insurance
Healthcare ⢠Healthcare Insurance
CenterWell Senior Primary Care is a healthcare provider focused on delivering personalized primary care to senior citizens. The company emphasizes a comprehensive and holistic approach to healthcare, addressing the physical, social, and emotional needs of older adults. As part of its service offerings, CenterWell includes home health services and pharmacy support to complement its senior primary care. The organization is committed to offering stability, inclusive benefits, and career growth opportunities for its employees while maintaining a culture of mutual respect and mindfulness. CenterWell is a brand under the larger healthcare entity, Humana.
đĽ 6 minutes ago
đşđ¸ United States â Remote
đľ $44.9k - $60.2k / year
â° Full Time
đĄ Mid-level
đ Senior
đ Pharmacist
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1001 - 5000 employees
đĽ Healthcare
âď¸ Healthcare Insurance
Healthcare ⢠Healthcare Insurance
CenterWell Senior Primary Care is a healthcare provider focused on delivering personalized primary care to senior citizens. The company emphasizes a comprehensive and holistic approach to healthcare, addressing the physical, social, and emotional needs of older adults. As part of its service offerings, CenterWell includes home health services and pharmacy support to complement its senior primary care. The organization is committed to offering stability, inclusive benefits, and career growth opportunities for its employees while maintaining a culture of mutual respect and mindfulness. CenterWell is a brand under the larger healthcare entity, Humana.
⢠Act as intake for calls from patients, pharmacies, and providers ⢠Perform advanced administrative, operational, and customer support duties ⢠Support the interdisciplinary CIT team in resolving medication access barriers ⢠Conduct medication list reviews ⢠Address formulary and cost-management needs ⢠Assist with Patient Assistance Program applications ⢠Support Low Income Subsidy screening and enrollment ⢠Provide Medicare Prescription Payment Plan education ⢠Resolve pharmacy-related access issues ⢠Manage referrals through established workflows ⢠Conduct patient outreach ⢠Coordinate with clinics and providers ⢠Document case activity and outreach outcomes ⢠Review medication brand and generic names, medical terminology, and pharmaceutical calculations ⢠Perform medication adherence outreach, auditing, documentation, and reporting for STAR measures ⢠Facilitate resolution of prior authorization and medication access issues ⢠Attend team meetings and provide workflow feedback ⢠Receive and manage Internal Medication Access Program referrals ⢠Initiate and follow through with patient assistance programs, prior authorizations, formulary exceptions/alternatives, and tier reductions ⢠Provide assistance with medication packaging education, pharmacy transfers, third-party rejections, and override assistance ⢠Process select medication claim updates as requested by clinical pharmacists or providers ⢠Follow program guidelines to support timely and appropriate medication access assistance
⢠Completion of an accredited Pharmacy Technician Program ⢠Active unrestricted State Pharmacy Technician License in your state of residence ⢠PTCB Certified with Medication Therapy Management (MTM) Certification or ability to obtain MTM Certification within 60 days of hire date ⢠Minimum three (3) or more years of experience as a Pharmacy Technician ⢠Knowledge of the top 200 drugs ⢠Comfortable working with or learning electronic health record systems ⢠Prior Authorization experience ⢠Pharmacy Benefit Management experience ⢠Mail Order Pharmacy experience preferred ⢠Bilingual in Spanish preferred ⢠Schedule availability Monday-Friday, 8:00 AM-5:00 PM local time ⢠Minimum home internet speed of 25 Mbps download and 10 Mbps upload ⢠Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information
⢠Medical benefits ⢠Dental benefits ⢠Vision benefits ⢠401(k) retirement savings plan ⢠Paid time off ⢠Company holidays ⢠Personal holidays ⢠Paid parental leave ⢠Paid caregiver leave ⢠Short-term disability ⢠Long-term disability ⢠Life insurance ⢠Remote work at home ⢠No travel at this time
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