Pharmacy Technician - 256336

Pharmacy Member Advocate

Job Responsibilities

• Manage a caseload of members, providing personalized support throughout the medication access process.
• Conduct inbound and outbound outreach to members, pharmacies, providers, and healthcare partners to coordinate prescriptions and resolve medication access barriers.
• Educate members on pharmacy benefits, medication affordability, financial assistance programs, and available savings opportunities.
• Assist members with enrollment and navigation of Patient Assistance Programs (PAPs), Copay Assistance Programs, Specialty Pharmacy Enhanced Care Management (ECMP), and international medication savings programs.
• Research and resolve insurance rejections, prescription processing issues, and other barriers to medication access.
• Collaborate with provider offices to obtain prescriptions, prior authorizations, and necessary supporting documentation.
• Maintain accurate documentation of member interactions, case updates, outreach efforts, and follow-up activities.
• Partner with Pharmacy, Clinical, Client Success, Quality, and Operations teams to ensure timely resolution of member concerns.
• Identify and escalate complex cases requiring additional support or intervention.
• Communicate member feedback and identify opportunities to improve workflows and the overall member experience.
• Maintain HIPAA compliance and adhere to all applicable healthcare regulations and company policies.

Required Qualifications

• Active Texas State Board of Pharmacy Technician registration.
• Active national Pharmacy Technician certification through PTCB or NHA (ExCPT).
• Ability to work in a fully onsite, high-volume call center environment with a focus on outbound member engagement.
• Proficiency in Microsoft Office applications.
• Strong communication, organizational, and problem-solving skills.
• Ability to manage multiple priorities while delivering a positive member experience.

Preferred Qualifications

• Previous experience in pharmacy benefits, specialty pharmacy, patient advocacy, or medication access services.
• Familiarity with prior authorizations, insurance claims, and prescription processing.
• Experience assisting patients with financial assistance programs, copay support, or medication affordability resources.
• Experience working in a high-volume healthcare or pharmacy call center environment.

Schedule & Work Environment

Schedule: Monday–Friday, 10:30 AM–7:00 PM

Work Environment: Fully onsite, call center setting