Pharmacy Technician Care Advocate (MTM & Adherence) - Remote

1w1 week ago

Centene Corporation

US · Full-time · $30,000 – $54,000

About this role

You could be the one who changes everything for Centene's 28 million members. This work from home call center position focuses on telephonic outreach to complete medication reviews (MTM) and pharmacy adherence. Supports the clinical team through collaboration with prescribers and beneficiaries.

Conduct triage of inbound calls to the MTM hotline and monitor fax line for prescriber responses. Prepare cases for Comprehensive Medication Reviews (CMRs) and communicate with network pharmacies, prescribers, and members. Document services in databases to ensure CMS compliance.

Engage in drug utilization review (DUR) via meeting preparation, letter campaigns, and outreach to members/providers. Support data analytic activities and track interventions for regulatory audits. Work Monday-Friday 11am-8pm in your own time zone after initial training.

Centene offers a fresh perspective on workplace flexibility as a diversified national organization. Access competitive benefits including health insurance, 401K, tuition reimbursement, and paid time off. Training provided 10am-7pm EST for first two weeks.

Requirements

High School Diploma or GED required
0-1 year of experience in pharmacy operations, managed care, hospitals, and/or retail environments
Certified Pharmacy Technician (CPhT) preferred
Bilingual - Fluent English & Spanish or other language, highly preferred
Authorized to work in the U.S. without need for employment-based visa sponsorship

Responsibilities

Provides medication therapy management (MTM) services via triage of inbound calls to the MTM hotline
Monitors fax line for prescriber responses and completion of failed faxes
Supports the pharmacist for completion of Comprehensive Medication Reviews (CMRs) through pre-work up and case preparation
Communicates with network pharmacies, prescribers, and beneficiaries to provide MTM services
Documents and records services/activities in appropriate databases/software to ensure compliance with CMS requirements
Engages in drug utilization review (DUR) by supporting execution of DUR initiatives via meeting preparation, letter campaigns, and telephonic outreach
Supports basic data analytic activities and tracking of interventions for regulatory audits