About this role
Salary Range: $55,245.00 (Min.) - $69,045.00 (Mid.) - $82,867.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.
Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
Job Summary
Pharmacy Technician I provides support for L.A. Care Pharmacy and Formulary programs across all lines of business, support key components of the pharmacy program operations, and assists with clinical programs.
Duties
Review rejected claims and perform outreach for cases where action is required. (20%)
Perform clinical programs projects as assigned by Lead Technician, including Stars In. (20%)
Receive and process pharmacy-related phone calls and emails directed to Pharmacy & Formulary by other departments. (15%)
Actively participates in benefit testing and other activities related to the formulary. (10%)
Participate in data analysis and is able to organize and design spreadsheets to track progress (Excel and Access). (10%)
Assist in audit deliverables. (10%)
Update necessary call logs for calls received after hours. Actively participate in rotating on-call schedule. Actively participate in weekly meetings. (5%)
Perform other duties as assigned. (10%)
Duties Continued
Education Required
Education Preferred
Experience
Required:
At least 2 years of experience as a Pharmacy Technician with at least 1 year of experience in managed care pharmacy benefit administration.
Skills
Required:
Proficiency with Microsoft Word and Excel.
Must be customer-service oriented and possess good telephone skills.
Good verbal and written communication skills.
Preferred:
Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.
Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Physical Requirements
Additional Information
Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
L.A. Care offers a wide range of benefits including
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)
Other facts
About L.A. Care Health Plan
L.A. Care’s mission is to provide access to quality health care for L.A. County’s low-income communities, and to support the safety net required to achieve that purpose. As a publicly operated health plan, L.A. Care Health Plan serves more than 2.6 million members in Los Angeles County, making it the largest publicly operated health plan in the country. L.A. Care offers four health coverage plans including Medi-Cal, L.A. Care Covered™, L.A. Care Medicare Plus and the PASC-SEIU Homecare Workers Health Care Plan, all dedicated to being accountable and responsive to members. L.A. Care prioritizes quality, access and inclusion, elevating health care for all of L.A. County. For more information, follow us on X, Facebook, LinkedIn, Instagram and YouTube.
To learn more, visit www.lacare.org.
*For urgent inquiries: 1-888-4LA-CARE (1-888-452-2273)
What you'll do
- The Pharmacy Technician I provides support for L.A. Care Pharmacy and Formulary programs and assists with clinical programs. Key duties include reviewing rejected claims, performing clinical program projects, and processing pharmacy-related communications.
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