The primary responsibilities involve supporting a centralized Population Health Management model by identifying medication adherence gaps, conducting patient outreach, and resolving access and cost barriers, mainly focusing on Medicare Advantage populations. This role also includes coordinating care, supporting cost-reduction strategies, and accurately documenting all patient interactions and outcomes in relevant tracking tools.
Requirements summary
Candidates must possess a High School Diploma or equivalent, along with a Pharmacy Technician license or CPhT certification, and a minimum of two years of experience, preferably in a hospital setting. Strong communication skills for patient engagement via phone and basic proficiency with EHRs or pharmacy systems are also required.
Mass General Brigham Community Physicians, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary MGB is offering a generous $3,000 sign-on bonus to welcome you to our team. Recognizing and valuing exceptional talent, we're eager to discuss the exciting details of this bonus during our interview process. Please note all eligibility will be reviewed before an offer is made. The Pharmacy Technician – Medication Adherence supports a centralized Population Health Management (PHM) model by partnering with pharmacists and the broader care team to improve medication adherence, with a primary focus on Medicare Advantage populations while also supporting pharmacy-related access and affordability needs across all lines of business. This role focuses on identifying adherence gaps, conducting patient outreach, resolving access and cost barriers, and supporting interventions that impact Medicare Advantage Star Ratings as well as overall medication adherence and member experience enterprise wide.
Primary
Responsibilities: Medication Adherence & Quality Measures Support
Identify patients at risk for medication non-adherence using centralized PHM reports, payer files, registries, refill history, and EHR tools.
Primarily support Medicare Advantage Star medication adherence measures while addressing adherence gaps across all populations.
Conduct patient outreach (phone, portal, text as appropriate) to address late refills, access barriers, and affordability concerns.
Educate patients on refill timing, dosing schedules, and the importance of adherence, within technician scope and under pharmacist guidance.
Support adherence interventions such as refill synchronization, automatic refills, reminder outreach, and coordination with retail, specialty, and mail-order pharmacies. Care Coordination, Access & Affordability
Support patients across all lines of business (Medicare Advantage, Medicaid, Commercial) with pharmacy-related access and affordability barriers that impact medication adherence.
Assist with prior authorization follow-up, formulary alternatives, refill coordination, pharmacy transfers, and medication delivery options.
Support cost-reduction strategies such as generic alternatives, preferred formulary options, pharmacy optimization, manufacturer assistance referrals, and coordination with affordability or financial navigation teams.
Coordinate with retail, specialty, and mail-order pharmacies to resolve delays, coverage issues, or refill discrepancies.
Escalate clinical questions, adverse effects, or therapy concern promptly to a pharmacist or licensed clinician. Documentation, Reporting & Quality Tracking
Document all patient interactions, outreach attempts, and outcomes accurately in the EHR, PHM platforms, and/or adherence tracking tools.
Maintain centralized adherence worklists and ensure timely completion of assigned interventions.
Track and support closure of adherence-related quality gaps tied to Medicare Advantage Star Ratings.
Assist pharmacists with preparation of reports, audits, and payer requests related to adherence performance. Team Collaboration
Work closely with pharmacists, medication access coordinators, care managers, and providers to support patient-centered medication management.
Participate in team huddles or meetings related to adherence initiatives and population health priorities.
Support workflow optimization and continuous improvement initiatives related to medication adherence programs.
Qualifications
Qualification
Requirements: High School Diploma or equivalent. Pharmacy Technician license or Technician Certification (CPhT). 2+ years of experience, preferably in a hospital setting. Familiarity with medication refill processes and pharmacy workflows. Strong communication skills and comfort engaging patients by phone. Basic computer proficiency and experience with electronic health records (EHRs) or pharmacy systems.
Preferred
Skills: Health Plan / Medicare Advantage experience strongly preferred Background in Medication Adherence from a Health Plan or Hospital strongly preferred. Experience working in a centralized population health or value-based care model. Experience supporting Medicare Advantage populations and quality initiatives. Experience assisting patients with medication access, affordability, and coverage issues. Working knowledge of Medicare Star Ratings and adherence methodologies (e.g., Proportion of Days Covered [PDC]). Experience using payer reports, registries, or quality dashboards. Bilingual skills. Additional
Knowledge, Skills and Abilities
Shows knowledge of the pharmacology of drugs and the legal aspects of dispensing. Familiarity with pharmacy practice settings, legal requirements and limitations, prescription information and calculations, drug identification and generic equivalents, drug manufacturing, packaging and labeling information, and proper drug handling and storage practices. Additional Job Details (if applicable) Schedule and Working Model: Full-time, Monday through Friday, standard business hours. Remote with occasional in-office requirements at Assembly Row in Somerville, MA. Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $19.81 - $28.30/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 6010 Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. Combat disease. Hold a hand. Help people. Impact the world. Mass General Brigham is a passionate, welcoming community where minds meet caring hearts. Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Are you ready? Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.
