Waymark is a team of healthcare providers, technologists, and builders whose mission is to bring the best healthcare to people with Medicaid benefits.  Guided by the communities we serve, we bring support and technology-enabled care to help primary care providers keep Medicaid patients healthy.  We are building the tools and designing an approach to enable care to reach the patients who can benefit most.  

Our core values embody the essence of what makes Waymark a unique team today, and what we look for, nurture, and sustain as a team. We are bold builders, believing that the greatest challenges in care delivery can be solved when we harness the power of community and technology. We are humble learners, seeking feedback and perspectives different from our own, and welcome challenges to our conclusions. We experiment to improve, actively seeking data to inform decisions and to assess our own performance. We act with focused urgency, our commitment to our mission drives us to tirelessly pfursue results.

If this vision resonates with you, we hope you consider bringing your creativity, your energy, your curiosity to Waymark.

About this role

As a Pharmacy Technician, you will provide virtual (primarily telephonic) support for Medicaid patients. You will partner with Waymark clinical pharmacists to help patients access medications, address barriers to medication non-adherence, access relevant durable medical equipment (DME), and elevate prescription needs to providers. You will report to the Clinical Pharmacist Lead in Illinous state.

You will interact with patients through telehealth modalities (SMS and phone) as part of a broader team that includes community health workers who see patients in person and support patients in addressing social determinants of health, therapists who provide mental health counseling, and care coordinators who work closely with care providers and community-based organizations to support wrap-around services. You will also work closely with the Waymark clinical pharmacist to provide interventions in primary care that help patients overcome challenges gaining access to, and appropriately taking, their medications.

Responsibilities

• Perform telephonic and SMS outreach to patients and providers/pharmacies to address medication access issues, medication non-adherence or other drug utilization activities to improve patient and quality outcomes. Outreach may also include addressing medication-related and disease control-related HEDIS gaps. 
• Coordinate patient medication needs with a multidisciplinary team including community health workers (CHW’s), care coordinators, and therapists.
• Coordinate with external healthcare providers and Waymark care team to provide accurate and timely information on medications. 
• Facilitate medication access including answering, resolving and triaging inbound inquiries in collaboration with the Clinical Pharmacist Lead.
• Facilitate timely responses to internal Waymark requests for pharmacy team assistance by obtaining and documenting medication information and verifying eligibility, formulary, benefits and allergy information as requested by the Waymark Pharmacist Lead.
• Communicate with patients and healthcare providers to assist in completing medication prior authorizations, navigate formulary changes, manage side effects, and identify therapeutic substitutions in conjunction with Waymark and primary care teams.
• Provide accurate and timely documentation to ensure productivity and quality metrics are met.
• Actively participate in innovation with an evolving startup environment by identifying trends, resolving problems, recommending improvements, and implementing process improvement changes, applying observations and recommendations to resolve operational issues, increasing productivity and quality, and achieving excellent customer experience.

Minimum qualifications

• Current Illinois State Pharmacy Technician License in good standing.
• PTCB CPhT Certification.
• 2 or more years experience working in outpatient/primary care/clinic-based, or managed care settings.
• Experience with and commitment to improving care for underserved populations.
• Ability to collaborate and communicate effectively in a multidisciplinary team setting.
• Strong interpersonal communication skills, comfortable with proactively engaging patients telephonically, comfortable reaching out to on-site clinicians, payors, and pharmacies telephonically.
• Detail-oriented, customer service-oriented mindset, motivated problem solver. 
• Ability to navigate proficiently within multiple computer systems including but not limited to spreadsheets, EMRs, and others.
• Reside within the state of Illinois.

Preferred qualifications

• 3 or more years experience working in outpatient/primary care/clinic-based, or managed care settings.Experience working in a call center handling pharmacy-related customer service requests and performing outbound calls.Experience in navigating Illinois Medicaid prescription benefits in addressing medication access issues for Medicaid and dual-eligible patients.
• Experience with lean process improvement and/or other quality improvement initiatives and development and implementation of new operational workflows.
• Experience with EHR documentation.

Hourly Rate Range

$23.08 - $26.20

In addition to salary, we offer a comprehensive benefits package. Here’s what you can expect:

COVID Vaccination: Waymark has adopted a policy on mandatory full vaccination to safeguard our employees, our partners, and the patients we serve from the hazard of COVID-19.  As a healthcare company, we believe it is important for our employees and actions to reflect the best available science and the interests of public health.  You will be asked to attest to your COVID vaccination status before an offer of employment is made.

Offer of employment is contingent upon successful completion of a background check.

Don’t check off every box in the requirements listed above? Please apply anyway! Studies have shown that some of us may be less likely to apply to jobs unless we meet every single qualification. Waymark is dedicated to building a supportive, equal opportunity, and accessible workplace that fosters a sense of belonging – so if you’re excited about this role but your past experience doesn’t align perfectly with every preferred qualification in the job description, we encourage you to still consider submitting an application. You may be just the right candidate for this role or another one of our openings!