Job Details
The HEDIS Pharmacy Technician is an active member of the HEDIS department and works closely with other team members and management. The HEDIS Pharmacy Technician will assist with quality measures related to medications and disease states including diabetes and dyslipidemia. The HEDIS Pharmacy Technician will report to the management team of the HEDIS department and will take on active roles related to patient and provider outreach.
This is not your typical retail pharmacy role it's an exciting opportunity to work in an office setting that involves member communication, coordination of care, and improving medication-related quality measures.
Key Responsibilities:
- Will be an integral member, responsible for supporting and enhancing the HEDIS department, areas of involvement will include, but not limited to, medication reconciliations for the identified populations, medication adherence for the identified populations, health education policies and support for at-risk diabetic members.
- Assists with improving the management and care of patients with multiple chronic disease/conditions. This includes, but not limited to, member outreach to determine barriers, provide member assistance directly or work with other departments to address and overcome patient barriers, and contact providers to coordinate care, as needed
- Assists in collecting medication lists from internal databases, contacting patients to schedule telephonic appointments with pharmacist for comprehensive medication review, conducting patients reminder calls for refills and/or preventative screenings, outreaching to providers and pharmacies and coordinating care for patients
- Works closely with Clinical Pharmacist, Project Manager, and other staff to identify and provide outreach to high-priority patients
- Conducts medical record review to determine compliance with HEDIS and inputs into internal database compliant information
- Prepares and maintains records and files which are neat, organized, thorough and readily accessed
- Completes assignments within specified timelines and reports project progress to designated person
- Communicates with internal and external customers in a professional manner and follows through on commitments
- Written and verbal communication and transmission of information is clear, concise and is in proper business and grammatical format
- Protects and maintains confidentiality and privacy of all member information, including adherence to strict protocols for HIPAA
- Supports the company s vision, mission, values, goals, and policies
- All other duties as directed by management
Education and Experience:
- Current CA Pharmacy Technician license
- Bilingual in Spanish preferred
- Minimum one (1) year of pharmacy experience, preferred in a managed healthcare environment
- Knowledge of PBM industry, formulary management, pharmacy claims and managed care principles and practices preferred
- Proficient in Microsoft Applications: Outlook, Word, Excel, and Power Point
- Proficient understanding of common pharmacy electronic databases and the ability to type >40 WPM
- Ability to work in a multi-task, fast moving environment, is flexible and adapts well to change
- Strong communication and customer service skills
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
The pay range for this position at commencement of employment is expected to be between $23 - $25 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an at-will position and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
Employer-paid comprehensive medical, pharmacy, and dental for employees
Vision insurance
Zero co-payments for employed physician office visits
Flexible Spending Account (FSA)
Employer-Paid Life Insurance
Employee Assistance Program (EAP)
Behavioral Health Services
Savings and Retirement:
401k Retirement Savings Plan
Income Protection Insurance
Other Benefits:
Vacation Time
Company celebrations
Employee Assistance Program
Employee Referral Bonus
Tuition Reimbursement
License Renewal CEU Cost Reimbursement Program
Business-casual working environment
Sick days
Paid holidays
Mileage
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.