Pharmacy Technician-Care Specialist III

Pharmacy Technician-Care Specialist III

Requirements

• H.S. Diploma or Equivalent
• 3 Years experience in a variety of patient care settings or pharmacy settings.
• California Pharmacy Technician License (TCH) – CA State Board of Pharmacy -REQUIRED

Responsibilities

• Gather, review, and analyze all pertinent information for appropriate medication therapy management initiatives.
• Create and disseminate recommendations and action plans per protocols.
• Assist in the day-to-day operations of the Medication Therapy Management division within the Ambulatory Case Management for all SCMG regions.
• Develops, implements, and monitors various program Initiatives.
• Creates adjustments to process as necessary.
• Creates Desktop policies to define processes necessary for MTM initiatives and programs.
• Completes annual review and revision of MTM Desktop Policies.
• Keeps current knowledge and understanding of applicable accreditation and regulatory statutes related to health care, managed care and pharmacy practices.
• Maintain individual in-service and performance records.
• Attends and actively participates in department, team process, and quality improvement activities.
• Identifies areas of improvement where systems modifications could result in operational advancements and efficiencies.
• Participates in designing, developing, and implementing pharmacy clinical programs (via Lean Six Sigma or Continuous Quality Improvement projects) to promote quality, cost-effective pharmacy benefits for patients.
• Completes the process within the required time frames.
• Develops process, monitors, and participates in MTM Initiatives.
• Creates and analyzes regular reports from MTM initiatives and programs.
• Prepares and presents reports to SCMG leadership and SCMG providers as necessary.
• Develops trending and analysis of reports of pharmacy metrics from SCMG database, and Health Plan data reports.
• Discusses strategies for further intervention targeting identified gaps.
• Acts as liaison between Pharmacists and PCP’s and Specialists.
• Attends Provider meetings as necessary.
• Travel to individual provider offices and other locations for meetings is required.
• Participates in quality improvement activities for the team and the department.
• Completes projects assigned by supervisor.
• Consistently participates in cost savings measures across the continuum of care (e.g. quality metrics).
• Under direct supervision of pharmacist, manages medication refill requests accurately and efficiently according to authorized protocols and collaborative agreement.
• Conducts data collection, outreach, and initial review of all medications currently being prescribed/taken by referred patients and patients identified through initiative reports.
• Provides initial information and recommendations for MTM pharmacist on medication changes that would result in lower member copayments, and/or fewer medications taken per day for the member.
• Applies the principles of standard medical care and cost containment to all decisions.
• Maintains set turnaround times for program completion (subject to audit).
• Observes and follows through on Pharmacist or Medical Director directions in research and resolution of all cases and initiatives.
• Prepares referrals to MTM for Pharmacist, per Desktop policies.
• Completes research on medication related topics as requested by Pharmacist.
• Provides back-up support to MTM Care Coordinator.
• Observes Sharp Community Medical Group (SCMG) policies and procedures.

Preferred Qualifications

• experience in HMO or delegated risk medical group/IPA setting.
• experience with Electronic Health Records (EHR).
• Certified Pharmacy Technician (CPhT) – Pharmacy Technician Certification Board -PREFERRED