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Customer Service Rep Pharmacy Technician

5 months ago


Miami, United States CareMax Inc Full time
Job DescriptionJob Description

About Us:

HEART. It is the driving force of our commitment to serving others with empathy, respect, and dignity. CareMax, is committed to providing the best that medicine has to offer with quality healthcare for those who need it most, our seniors. Join our team and experience it for yourself. We are Health with Heart.

You can count on us to provide you with resources and opportunities for growth, while contributing to our mission to improve lives through kindness, compassion, and better health. This is what we offer:

  • Access to continual education through CareMax University
  • Starting with 18 days of Paid Time Off
  • 8 company paid holidays plus a floating holiday
  • 401(k) plan with company match
  • Comprehensive medical package

About You:

Are you ready to be a part of a team that values empathy, persistence, and excellence? As the Pharmacy Coordinator at CareMax, you'll be the linchpin in addressing pharmacy-related inquiries from our members and providers. Your primary focus will be on ensuring effective medication management, orchestrating improvements in the generic dispensing rate (GDR) by facilitating brand-to-generic conversions in alignment with health plan formularies. You'll serve as the Subject Matter Expert (SME) for medication-related inquiries within our medical center.

Qualifications and Skills:

  • High School diploma or equivalent.
  • Valid Registered Pharmacy Technician license in Florida.
  • A minimum of two years' experience as a pharmacy technician, physician dispensary, or pharmacy care coordinator.
  • Proficiency in computer skills, including Microsoft Office.
  • Familiarity with electronic health record software (NextGen is preferred).
  • Knowledge of pharmacy adjudication platforms.
  • Bilingual proficiency in Spanish and English (preferred).
  • Patient relations experience, especially with an elderly population.
  • Exceptional listening, interpersonal, verbal, and written communication skills.
  • Meticulous attention to detail in prescription processing and record-keeping.
  • Ability to work both independently and collaboratively in a fast-paced environment.
  • Strong organizational skills, self-motivation, and prioritization abilities.

Essential Duties and Responsibilities:

  • Build meaningful relationships with patients and caregivers based on compassion, empathy, and trust.
  • Act as a liaison between CareMax Pharmacy and providers to ensure seamless communication.
  • Collaborate with healthcare providers to optimize medication regimens and resolve drug therapy-related issues.
  • Educate patients on medication usage, potential side effects, and adherence strategies.
  • Efficiently process prescription orders, including data entry, insurance verification, and refill requests.
  • Coordinate with insurance providers to secure prior authorizations and resolve coverage matters.
  • Facilitate the transition of high-cost medications to preferred alternatives in line with health plan formulary coverage.
  • Assist in Durable Medical Equipment (DME) ordering and patient education.
  • Handle refill requests, medication reconciliation, and prescription transfers.
  • Provide support during PBM audits and address patient grievances empathetically.
  • Contribute to maintaining a positive and solution-oriented workplace culture.
  • Generate timely reports for review by the Dispensary Supervisor.
  • Utilize quality and HEDIS reports to enhance adherence rates.
  • Adhere to company policies, procedures, and documentation requirements.

Come join the CareMax family and be part of Health with Heart. Help us continue to change lives every day

CareMax provides equal employment opportunity to all applicants and employees. No person is to be discriminated against in any aspect of the employment relationship due to race, religion, color, sex, age, national origin, disability status, genetics, citizenship status, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws