• Provide telephonic and/or video and/or SMS-based outreach, engagement, and education of vulnerable patients in the Medicaid program in California. • Work with a multidisciplinary team to provide care management services that ‘wrap around’ primary care provider practices; team members include Community Health Workers, Care Coordinators, and Behavioral Health Therapists. • Support patients and providers around transitions of care. • Provide clinical services that support day-to-day operations and safe practices of the program. • Participate in QI activities to assure quality, cost-effectiveness, and ROI. • Utilize analytics dashboards that help you proactively outreach patients who receive medication and/or equipment rejections, admissions/readmissions, or who may benefit from medication adherence counseling. • Lead and mentor pharmacists and/or pharmacy technicians.

Role Description As a Patient Engagement Specialist, you will help patients manage their medications. You will answer calls, make refill calls, and guide patients through the refill process. You’ll work closely with pharmacists, providers, and care teams to make sure patients get the support they need. What You’ll Do: - Answer inbound and/or outbound patient and pharmacy calls - Call patients to schedule and complete medication refills - Help process prescriptions and resolve claim issues - Check prescription status and update patient records - Work with pharmacists and providers to clarify orders - Provide friendly, helpful support to patients and partners - Use systems to track work and keep information up to date - Other duties and/or responsibilities may apply Qualifications - Pharmacy Technician experience (1–3 years preferred) - High school diploma or GED - Pharmacy Technician state registration (required where applicable) - National certification (CPhT/PTCB) required - Knowledge of prescription processing or claims adjudication (preferred) - Strong communication and phone skills - Comfortable speaking with patients and care teams daily - Organized, detail-oriented, and dependable - Able to learn new systems quickly Requirements - Remote role (must have reliable high-speed internet and a quiet workspace) - Two monitors required (provided by company) - Monday–Friday schedule, may start as early as 7:45 AM EST - Occasional overtime may be needed Benefits - Medical - Dental - Vision - 401(k) with company match - Paid Holidays - Paid Time Off - Paid Parental Leave - And more

Role Description The Pharmacy Technician is responsible for supporting the clinical and operational processes for Star measures within Medicare. This includes: - Making outreach to providers and pharmacies to assist medication adherence interventions by promoting program benefits with Medicare Part D members. - Interacting with BCBSM staff pharmacists, interns, and pharmacy students. - Assisting in maintaining call logs and database notes for Medicare membership. - Monitoring voicemailbox and facilitating responses. - Taking inbound customer service calls. - Creating comprehensive medication lists for professional staff. - Researching, analyzing, identifying, and evaluating data from assigned problems to evaluate existing issues. - Maintaining comprehensive knowledge of government business, products, programs including provider data, networks, etc., and corporate organizational structure. - Assisting leadership by investigating, reviewing, and recommending innovative solutions which identify problems/root causes of issues. - Documenting feedback between corporate business areas and participating in group or committee discussions. - Effectively communicating to upper management calls that require escalation. Qualifications - High School Graduate or GED equivalent required; Associate’s degree preferred. - Active unrestricted Pharmacy Technician License or Pharmacy Technician Certification (PTCB) Required. - At least one (1) year experience in retail, hospital, or managed care Pharmacy preferred. - Knowledge of pharmacy claims processing; working knowledge of Medicare Part D is preferred. - Excellent customer service and communication skills. - Ability to make competent, independent decisions. - Ability and proficiency in the use of computers and Company standard software specific to position. - High level of proficiency with Microsoft Office products. - Strong ability to work independently, within a team environment, and communicate effectively with employees and clients at all levels. - Ability to multi-task and shift priorities with ease to meet business needs. Requirements - All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. - Candidates are hired on an "at will" basis. Nothing herein is intended to create a contract.

Title: Pharmacy Service Representative Location: Carolina-6020 Ave Roberto Sanc time type Full time Hybrid job requisition id R0967843 Job Description: We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary You will be responsible for the overall coordination and processing of new patient medication orders and reorders, which includes verifying and reverifying benefits. You will also help our patients with translating and entering in new or refill prescriptions into the pharmacy information system, communicating and collecting copay amounts, obtaining authorizations, and working with insurance companies, healthcare providers and/or internal teams to screen, identify, resolve and defer orders that have accounts receivable or clinical issues. Excellent communication skills are needed in order to effectively interact with insurance companies, patients and internal partners to ensure the processing of specialty medications in a timely manner and to ensure that financial and clinical expectations are being met prior to fulfillment. If you like working in a fast-paced environment and demonstrating compassionate, genuine care for patients and customers, this job is for you! Work Schedule available: We are seeking individuals open to working a 40 hour shift/schedule anytime Monday - Friday, between 7:30am-11pm. You will be given a set schedule upon starting. - Provides courteous and helpful customer service to customers utilizing specialty mail-order pharmacy services by addressing basic customer inquiries, concerns, and issues in a timely and professional manner. - Assists customers with entering new medication orders or refilling existing prescriptions through the specialty mail-order pharmacy. - Reviews prescription details, such as medication name, dosage, and quantity, to ensure accuracy and compliance with the healthcare provider's instructions. - Addresses basic customer inquiries about the status of their specialty medication order while providing estimated delivery times and assisting with tracking information or general shipment inquiries. - Identifies and escalates complex customer concerns or issues to appropriate teams or supervisors for further assistance and resolution. - Maintains accurate and organized records of customer interactions, inquiries, and actions taken. - Develops a basic understanding of the specialty medications, healthcare products, and services offered by the mail-order pharmacy. - Participates in training programs and ongoing learning initiatives to enhance customer service skills and product knowledge. - Collaborates with team members, supervisors, and other stakeholders to ensure smooth operations and customer satisfaction within the specialty mail-order pharmacy customer service department. - Assists colleagues and customers with English-to-Spanish translation for basic customer inquiries Required Qualifications - Bilingual (English-Spanish). - 6+ months experience in a customer service role handling and resolving a high volume of complex customer needs over the phone. - 6+ months work experience with Windows-based applications like Windows, Microsoft Office, internet navigation, and email applications. - 6+ months computer keyboarding experience, skills and aptitude. Preferred Qualifications - Registered Pharmacy Technician - Certified Pharmacy Technician (CPhT) - Certified Customer Service Professional (CCSP) preferred. Education - High school diploma or at least 1 year equivalent experience. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $25.65 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.