This role is pivotal in scaling our Recommendation & Intelligence Engine to deliver precise, high-impact insights that improve medication safety, optimize therapy, and drive smarter engagement for members, providers, and care advocates. As part of our Clinical Intelligence team, you will help shape how pharmacy intelligence and clinical decision support tools generate measurable improvements in clinical outcomes.
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The Community Advocate Pharmacy Technician provides consistent points of contact for community staff to further develop customer relationships. This role involves answering and responding to incoming phone calls from nursing staff and doctors, clarifying patient and prescription information, and communicating trends to management for training opportunities. They will be triaging calls and assisting callers.
This is a 6 month contract position where you will assist members, providers, pharmacies, and the internal SmithRx teams to navigate complexities of prescriptions to guide timely coverage of clinically appropriate, cost effective medication therapy in accordance with plan benefit design and clinical criteria for coverage. This may involve coordination of clinical review cases, checking coverage and plan rules, verification of submitted information, pharmacy and provider outreach, review of prior authorization requests within established protocols, and assisting to triage and troubleshoot questions and escalations.