Managed Care Pharmacy Technician Job Description [Updated for 2025]

In the evolving healthcare landscape, the role of Managed Care Pharmacy Technicians has become more essential than ever.

As healthcare continues to advance, the demand for skilled individuals who can manage, improve, and safeguard our managed care pharmacy procedures grows louder.

But let’s delve deeper: What’s truly expected from a Managed Care Pharmacy Technician?

Whether you are:

• A job seeker trying to understand the core of this role,
• A hiring manager outlining the perfect candidate,
• Or simply fascinated by the inner workings of managed care pharmacy,

You’ve come to the right place.

Today, we present a customizable Managed Care Pharmacy Technician job description template, crafted for effortless posting on job boards or career sites.

Let’s dive right in.

Managed Care Pharmacy Technician Duties and Responsibilities

Managed Care Pharmacy Technicians play a critical role in the healthcare industry, primarily working in settings such as health insurance companies, pharmacy benefit management companies, or other managed care organizations.

They assist with the management and dispensing of prescription medications, and liaise between healthcare providers, patients, and insurance companies.

Their main duties and responsibilities include:

• Assist in the processing of prescription orders and ensure accurate entry into the system
• Communicate with healthcare providers to clarify prescriptions, dosage, and medication instructions
• Liaise with insurance companies to resolve any issues related to insurance claims
• Ensure that all prescriptions are filled in accordance with state and federal laws and regulations
• Maintain up-to-date patient records, including medication history
• Manage drug inventory and place orders for necessary medications
• Provide medication-related counseling to patients under the supervision of a licensed pharmacist
• Address patients’ questions and concerns regarding their medications and health conditions
• Participate in quality improvement initiatives to enhance pharmacy services
• Assist pharmacists with management of drug therapy protocols as a part of a therapeutic committee

 

Managed Care Pharmacy Technician Job Description Template

Job Brief

We are seeking a highly-skilled Managed Care Pharmacy Technician to join our team.

In this role, you will be responsible for managing medication therapy, coordinating patient care, and providing information on the use of medications.

Managed Care Pharmacy Technician responsibilities include processing medication orders, maintaining patient records, and liaising with healthcare providers.

Our ideal candidates are familiar with pharmaceutical terminology and procedures, have excellent communication skills, and are able to provide quality patient care.

Ultimately, the role of the Managed Care Pharmacy Technician is to ensure the safe and effective use of medication in accordance with the patient’s healthcare plan.

 

Responsibilities

• Process and fill medication orders accurately
• Maintain accurate patient records and medication histories
• Coordinate with healthcare providers to manage medication therapy
• Provide information and education on medications to patients
• Ensure compliance with pharmacy laws, regulations, and standards
• Monitor medication therapy for effectiveness and adverse effects
• Identify potential drug interactions and resolve medication-related problems
• Participate in quality improvement initiatives

 

Qualifications

• Proven work experience as a Pharmacy Technician
• Experience in a managed care setting is preferred
• Strong knowledge of pharmaceutical terminology and procedures
• Excellent communication and interpersonal skills
• Ability to work collaboratively with healthcare providers and patients
• Proficiency in electronic health record (EHR) systems
• Certification from the Pharmacy Technician Certification Board (PTCB)
• High school diploma or equivalent; completion of a pharmacy technician program is preferred

 

Benefits

• 401(k)
• Health insurance
• Dental insurance
• Retirement plan
• Paid time off
• Professional development opportunities

 

Additional Information

• Job Title: Managed Care Pharmacy Technician
• Work Environment: Clinical setting with occasional weekend and evening shifts. May require standing for long periods and handling of hazardous substances.
• Reporting Structure: Reports to the Pharmacy Manager or Clinical Pharmacist.
• Salary: Salary is based upon candidate experience and qualifications, as well as market and business considerations.
• Pay Range: $35,000 minimum to $55,000 maximum
• Location: [City, State] (specify the location or indicate if remote)
• Employment Type: Full-time
• Equal Opportunity Statement: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
• Application Instructions: Please submit your resume and a cover letter outlining your qualifications and experience to [email address or application portal].

 

What Does a Managed Care Pharmacy Technician Do?

Managed Care Pharmacy Technicians typically work in healthcare settings, particularly in managed care organizations such as Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), or Pharmacy Benefit Management (PBMs).

They could also work in long-term care facilities, home healthcare, or mail-order pharmacies.

They are tasked with the responsibility of assisting pharmacists in managing the medication process.

This includes receiving prescription orders, preparing and packaging medications, maintaining patient records, and managing the inventory of drugs.

The job of a Managed Care Pharmacy Technician also involves ensuring the optimal utilization of medication, along with processing insurance claims and managing reimbursements.

They interact with healthcare providers and patients to address queries about medications and healthcare plans.

They play a vital role in patient care by providing medication-related counseling, clarifying insurance coverage, and ensuring medication adherence.

Their role also extends to monitoring medication therapy for safety and effectiveness under the supervision of the pharmacist.

Managed Care Pharmacy Technicians need to stay updated with the latest pharmacy regulations and medication changes, and they may also be involved in the implementation of pharmacy policies and procedures.

They must ensure the confidentiality and security of patient information at all times.

 

Managed Care Pharmacy Technician Qualifications and Skills

A Managed Care Pharmacy Technician should possess a range of specific technical skills, interpersonal abilities, and industry knowledge, including:

• Detailed understanding of pharmacy operations and procedures, along with technical knowledge of prescription drugs.
• Excellent organizational and data management skills to accurately process and fill prescriptions, maintain patient profiles, and manage drug inventory.
• Strong communication skills for discussing medication information and insurance details with patients, and for effective collaboration with pharmacists and other healthcare professionals.
• Ability to understand and navigate insurance plans, including Medicaid and Medicare, and to resolve billing disputes or discrepancies.
• High attention to detail to ensure the accuracy of prescription information, patient records, and insurance claims.
• Problem-solving skills to handle issues regarding medication supply, patient queries, and insurance claims.
• Basic computer skills to use pharmacy computer systems and software, and to maintain electronic patient and medication records.
• Customer service skills to provide respectful and empathetic care to patients, and to maintain professional relationships with healthcare providers and insurance representatives.
• Physical stamina to stand for extended periods and manage inventory, as well as manual dexterity to handle small medication containers and pills.
• Understanding of medical terminology, abbreviations, and pharmacological calculations to interpret prescriptions and provide correct dosages.

 

Managed Care Pharmacy Technician Experience Requirements

Managed Care Pharmacy Technicians often start their careers with a high school diploma and a certification from a recognized pharmacy technician program.

These programs provide foundational knowledge in pharmacology, medical terminology, and pharmacy law and ethics.

Internships or part-time roles in a pharmacy setting can provide valuable hands-on experience for entry-level candidates.

They may start out as retail pharmacy technicians, hospital pharmacy technicians, or in another related role where they can learn about medication dispensing and pharmacy operations.

Candidates with 1 to 2 years of experience may have developed their skills in insurance claims processing, inventory management, and customer service.

They may have also gained some experience with pharmacy benefit management systems and processes.

With over 3 years of experience, candidates often have a deeper understanding of managed care pharmacy operations, including formulary management, medication therapy management, and clinical pharmacy services.

They may also have experience in handling more complex tasks such as prior authorization processing.

Those with over 5 years of experience typically have advanced technical skills and knowledge.

They may have taken on leadership roles or had the opportunity to train and mentor new technicians.

At this stage, candidates may be ready for a supervisory role in a managed care pharmacy setting.

They might also have experience with quality assurance, policy development, and regulatory compliance in the pharmacy field.

 

Managed Care Pharmacy Technician Education and Training Requirements

Managed Care Pharmacy Technicians typically require a high school diploma or equivalent as a basic educational qualification.

Following high school, aspiring technicians must complete a pharmacy technician training program which can be pursued at vocational schools or community colleges.

These programs offer both theoretical and practical training, leading to a diploma, certificate, or associate’s degree.

Pharmacy Technicians must also be licensed according to the regulations of the state in which they intend to practice.

This process often involves passing an examination, such as the Pharmacy Technician Certification Exam (PTCE) or the Exam for the Certification of Pharmacy Technicians (ExCPT).

In a managed care setting, it may also be beneficial for a technician to have some knowledge of health insurance, Medicare and Medicaid policies, and basic medical terminology.

This can be acquired through additional training or coursework.

Additionally, continuing education is critical in this field to stay up-to-date with the latest medications, insurance policies, and technology.

Some pharmacy technicians may also opt to get certified in specialized areas such as chemotherapy, nuclear pharmacy, or compounding to improve their skills and career prospects.

Having certifications and additional training indicates a candidate’s commitment to their profession and their readiness to handle the complexities of the managed care environment.

 

Managed Care Pharmacy Technician Salary Expectations

A Managed Care Pharmacy Technician earns an average salary of $36,150 (USD) per year.

The actual earnings can differ based on factors such as experience, certification, location, and the employing healthcare organization.

 

Managed Care Pharmacy Technician Job Description FAQs

What skills does a Managed Care Pharmacy Technician need?

Managed Care Pharmacy Technicians should possess strong attention to detail to ensure the proper handling and dispensing of medication.

They must have excellent communication skills to effectively interact with healthcare providers and patients.

Basic computer skills are also necessary for managing electronic health records.

In addition, they should have a good understanding of medical terminologies and pharmacy calculations.

 

Do Managed Care Pharmacy Technicians require a specific degree or certification?

Managed Care Pharmacy Technicians typically require a high school diploma or equivalent.

However, completing a pharmacy technician program can be beneficial.

Most states require pharmacy technicians to be certified.

This typically involves passing the Pharmacy Technician Certification Exam (PTCE) or the Exam for the Certification of Pharmacy Technicians (ExCPT).

 

What should you look for in a Managed Care Pharmacy Technician resume?

The resume should highlight the candidate’s experience in pharmacy settings, particularly in managed care environments.

Look for certifications such as Certified Pharmacy Technician (CPhT) and any state-specific licensure.

Familiarity with pharmacy software systems, knowledge of medical terminologies, and experience with medication dispensing should also be highlighted.

 

What qualities make a good Managed Care Pharmacy Technician?

A good Managed Care Pharmacy Technician is accurate and meticulous, ensuring correct medication is dispensed to the right patients.

They are compassionate and patient, able to deal with customers in a sensitive and effective way.

They are also good listeners and communicators, able to understand and relay information accurately.

Good organizational skills are also essential, as they often need to juggle multiple tasks at once.

 

Is it challenging to recruit a Managed Care Pharmacy Technician?

Finding a qualified Managed Care Pharmacy Technician can be challenging due to the specific skills and certifications required.

The pool of candidates may be limited, and they are in high demand across various healthcare settings.

Therefore, offering competitive pay and a supportive working environment can help attract and retain skilled technicians.

 

Conclusion

So, there you have it.

Today, we’ve delved into the details of what it truly means to be a managed care pharmacy technician.

And guess what?

It’s not just about dispensing medications.

It’s about contributing to the healthcare system, one prescription at a time.

With our handy managed care pharmacy technician job description template and real-world examples, you’re ready to step forward.

But why stop there?

Explore further with our job description generator. It’s your next step to creating detail-oriented job listings or honing your resume to perfection.

Remember:

Every prescription filled is part of a bigger healthcare picture.

Let’s contribute to that future. Together.

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