Pharmacy Technician - Remote, FL (Federal Employees Program)

The FEP Quality Pharmacy Technician is a member of the Federal Employee Program (FEP) Quality team and will work with internal and external partners on clinical quality improvement initiatives related to FEP-HEDIS®. Maintains organized, updated reporting of activities with clear documentation, including the tracking, monitoring and reporting out on the status of outreach resulting in FEP HEDIS care gap closure; with over-sight from a MTM Pharmacist & Registered Nurses. Conducts FEP member telephonic outreach to assist previously identified members in obtaining needed care in order to close a specific FEP HEDIS care gap. This may include speaking with the appropriate provider for the scheduling of an appointment or referring members to the FEP Care Management MTM Pharmacist and other assistance as needed to close the FEP HEDIS care gap. Conducts works to achieve better healthcare value and lower costs for our FEP members, while ensuring quality pharmaceutical care for our members.

Important to Know

• Must be Certified  holding and active Pharmacy Technician Certification

• Remote with preference to residing in Florida  

• Requires background in pharmacy to effectively communicate with patients about their medications, answer questions, and address concerns.

• This role will make outbound calls to patients on a target list to ensure they are receiving their prescribed medications and provide support to overcome any barriers to adherence.
• The incumbent will apply knowledge of Healthcare Effectiveness Data and Information Set (HEDIS) measures, such as blood pressure control and preventative measures, to educate patients on the importance of adhering to their treatment plans.
• Educate patients on the proper use of their medications, potential side effects, and the importance of preventative measures to promote overall health and well-being.

What Will You Be Doing

• Researches and synthesizes detailed clinical data related to pharmaceuticals to identify opportunities for improving quality or close HEDIS® care gaps for medication measures 
• Analyzing claims data to identify FEP members who may need MTM Pharmacist referrals 
• Performs FEP Member outreach on selected HEDIS® medication measures to educate patients and caregivers on the appropriate use of medications, referring members to FEP MTM Pharmacist for more in-depth medical questions related to prescriptions. Prepares and presents data from outreach as needed for leadership. 
• Serves as pharmacy SME/representative on projects; supports internal business partners such as product development, FEP care and case managers, MTM Pharmacist, special investigations, and medical operations. Provides internal professional staff and external provider education related to pharmaceuticals and program interventions. 
• Collaborating with MTM Pharmacist, and Sr. Mgr. FEP Quality develops and coordinates member notifications for drug program opportunities pharmacy messaging campaigns.(SMS FEPDirect Outreach); Facilitate and lead assigned projects to ensure successful implementation 
• Facilitate Care and Pharmacy integration through best practices and process improvements to optimize pharmacy care for our members 
• Perform comprehensive and targeted medication reviews to identify, resolve, and prevent medication-related problems for targeted members

What You Must Have

• 4+ years related work experience with member interaction required and Pharmacy experience 

• High school diploma or GED 

• Requires Certificate Pharmacy Technician Upon Hire 

• Strong clinical knowledge of prescription drug products, dosage forms and drug classification types 

• Demonstrated experience in patient consultative skills 

• Excellent written and verbal communication skills 

• Medical terminology, abbreviations and symbols 

• PC skills (Word, Excel, PowerPoint and Outlook)

What We Prefer

• Understanding of Pharmaceutical Claims Diagnosis codes
   

General Physical Demands

• Exerting up to 10 pounds of force occasionally to move objects. 

• Jobs are sedentary if traversing activities are required only occasionally. 

What We Offer

As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities. 

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: 

• Medical, dental, vision, life and global travel health insurance
• Income protection benefits: life insurance, short- and long-term disability programs
• Leave programs to support personal circumstances
• Retirement Savings Plan including employer match
• Paid time off, volunteer time off, 10 holidays and 2 well-being days
• Additional voluntary benefits available; and a comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.

To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. 

Targeted Offer -  Hourly Pay Range: $21 - $27

Hourly Pay Range: $21 - $35

Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.