Consultative Pharmacy Technician

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The Consultative Pharmacy Technician 4 certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Consultative Pharmacy Technician 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.

The Clinical Pharmacy Technician 4 will report to a Supervisor and will support the Integrated Clinical Pharmacist by assisting with medication reconciliation, preparation for medication therapy management activities, and chronic disease management support. This role contributes to the delivery of safe, effective, and efficient medication-use processes, including the reduction of medication waste, and improvement of patient outcomes. This role also promotes a strong understanding of medication optimization principles within the clinical pharmacy technician team. This position supports the advancement of best practices aligned with value-based care, encourages collaboration across the care team, and contributes to improved quality, safety, and patient-centered outcomes.

In this role you will:

• Know and continually review medication brand and generic names, medical terminology, and pharmaceutical calculations.
• Medication adherence outreach, auditing, documenting, and reporting as it pertains to STAR measures when applicable.
• Assist in day-to-day tasks as needed and requested by lead pharmacist or National Director of Pharmacy.
• Responsible for interacting with other departments to assist with member problems or questions and act as facilitator to resolve them regarding prior authorization or obtaining medications.
• Attend scheduled team meetings and provide relevant feedback regarding workflow issues.
• Assist clinical pharmacists in troubleshooting prescription third party claim rejections by accessing and understanding formulary restrictions, plan limitations, drug utilization review overrides, requesting and completing prior authorization, and/or communicating with plan representatives and/or prescribers to resolve such issues.
• Responsible for initiating and following through with patient assistance programs, prior authorizations, formulary exceptions/alternatives, and tier reductions to help patients afford their medications.
• Assist clinical pharmacists with disease management scheduling, pre-appointment preparation, and follow up tasks for medication education.
• Assist clinical pharmacists with medication therapy management scheduling, pre-appointment preparation, follow up tasks for medication reconciliation/education.
• Processing of select medication claim updates (lists) as requested by the clinical pharmacists or providers.

Use your skills to make an impact
 

Required Qualifications

• Completion of an accredited Pharmacy Technician Program and active State Pharmacy Technician Certification and License if required in your state of residence
• PTCB Certified
• Must have one of the two Certifications through PTCB and ability to obtain the other within 60 days of start date; Medication Therapy Management Certification (MTM), or Medication History Certification
• Minimum Three (3) years of experience as a Pharmacy Technician
• Experience with prior Authorization
• Knowledge of the top 200 drugs
• Experience and/or ability to work with electronic health record system
• Excellent oral and written communication skills.

Preferred Qualifications

• Pharmacy Benefit Management experience
• Advanced Pharmacy Technician Certification and License (CPhT-ADV)

Workstyle: Remote Work at Home

Location: Nationwide

Schedule: M-F 8:00-5:00 PM local time

Travel: None at this time

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$48,300 - $65,900 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 09-29-2026

About us
 

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.