• Work with insurance companies to obtain medication approvals. • Use pharmacy systems to enter data, run test claims, and manage follow-up actions. • Document patient needs, authorization status, and assistance efforts across systems and EMRs. • Communicate with prescribers to ensure accurate and appropriate prescriptions. • Maintain detailed records of all patient interactions. • Assist patients with insurance claims and medication adherence over the phone. • Partner with pharmacists and liaisons to support coordinated patient care. • Research information to support decisions and operational improvements. • Manage and update data in relevant databases. • Identify issues, recommend solutions, and participate in process improvement initiatives. • Maintain confidentiality and ongoing professional development. • Perform additional duties as needed; minimal travel may be required.

• Communicate directly with insurance companies to facilitate medication approvals and prior authorizations. • Navigate pharmacy operating systems to enter data, adjudicate test claims, and develop follow-up action plans. • Document patient concerns, prior authorization status, and financial assistance needs across multiple databases, EMRs, and email platforms. • Collaborate with physicians' offices to ensure patients receive optimal care and access to prescribed therapies. • Maintain complete and accurate records of all patient communications and case activity. • Assist patients with pharmacy insurance claims and medication access challenges. • Partner closely with pharmacists and pharmacy liaisons to deliver an integrated, high-quality patient care experience. • Provide compassionate phone support to patients, helping them manage refills, medication adherence, and pharmacy-related questions. • Research and investigate information to support informed decision-making and patient outcomes. • Manage, organize, and update data using various database applications. • Identify operational opportunities, recommend improvements, and support enhanced productivity, quality, and customer service standards. • Analyze trends, resolve issues, implement solutions, and contribute to continuous process improvement initiatives. • Serve as a value-added business partner to stakeholders throughout the organization. • Protect confidential patient and organizational information in accordance with company policies. • Stay current with industry trends and best practices through continuing education, professional publications, networking, and professional organizations. • Perform other duties as assigned.

Role Description Pharmacy Technician II Hours: 12pm – 8:30pm eastern time zone This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. The Clinical Pharmacy Care Center (CPCC) is a clinical pharmacy call center that services Medicare, Medicaid, and the Commercial member populations. The members we reach out to have been identified as having gaps in care. Our goal is to close those gaps through education and assistance. - Verifies member information and inputs data for the pharmacists. - Educates members about prescriptions and medication resources or assistance programs. - Educates members on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures. - Assists members with scheduling their preventive test/screenings and medication resources or assistance programs. - Makes outreach to members or providers to close care gaps and improve outcomes. Qualifications - Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States. - Requires H.S. diploma or equivalent and minimum of 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background. Requirements - Experience communicating with and supporting Medicaid members preferred. - Call center experience with high call volumes preferred. - Experience in discussing medication adherence preferred. - Proficient in computer systems and multitasking preferred. - Patient care experience preferred. - Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Benefits - Merit increases - Paid holidays - Paid Time Off - Incentive bonus programs (unless covered by a collective bargaining agreement) - Medical, dental, vision benefits - Short and long term disability benefits - 401(k) + match - Stock purchase plan - Life insurance - Wellness programs - Financial education resources

• Providing an exceptional customer service experience each day in a phone based environment. • Enter a high volume of data; processing prescription information with speed and accuracy. • Utilizing sound drug knowledge to effectively receive prescription authorizations, clarifications or transfers. • Perform claim adjudication and auditing duties such as prior authorizations, billing and eligibility checks. • Requiring outbound calls to patients. • Working through current case queues to problem solve for patient care issues. • Serving as a liaison between the clinical pharmacists and other medical professionals on patient’s behalf. • Partner with technicians and pharmacists to ensure that new patients are successfully on-boarded to ExactCare. • Maintaining patient records with strong attention to detail and confidentiality. • Accurate retrieval of all prescription information and verifying through doctor calls. • Placing welcome calls to newly on-boarded patients and establish a trusted point of contact. • Placing outbound calls to patients to create, maintain or update their medication profiles. • Serve as backup support for times of higher patient call volume. • Effectively assist with patient questions over the phone. • Performing in a high volume, fast paced environment to support ExactCare’s nationwide patient base. • Embody AnewHealth’s Core Values in all communications and interactions.