Clever Care Health Plan Jobs Hiring Now

Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.

Who Are We? ✨

Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values.

Why Join Us?

We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.

Job Summary

The Pharmacy Technician engages with members and network pharmacies to support medication adherence, ensure timely refills, and facilitate continuity of care by coordinating pharmacy-related needs and resolving access barriers.

This role contributes to STARS/HEDIS performance by proactively identifying and resolving adherence gaps and escalating clinical issues to a pharmacist as appropriate.

Functions & Job Responsibilities

• Conduct outreach to members and caregivers regarding upcoming or overdue medication refills
• Coordinate medication refills with members and network pharmacies to ensure continuity of therapy
• Assist members in navigating pharmacy-related needs, including refill access and issue resolution
• Maintain a regular in-person presence at Clever Care Community Centers and member events
• Serve as a liaison between members and network pharmacies to resolve access or refill barriers
• Escalate clinical questions or medication-related concerns to a pharmacist or Director of Pharmacy
• Partner with the STARS/HEDIS team to identify and address medication adherence gaps
• Participate in targeted outreach and calling campaigns to improve adherence and member engagement
• Support testing and adoption of new pharmacy and member engagement technologies to improve operational efficiency and workflows
• Provide feedback on system usability, workflow gaps, and opportunities for process improvement
• Work with external vendors and access multiple platforms and portals to support member service, refill coordination, and issue resolution
• Adapt to evolving tools and systems in a process improvement-focused environment
• Accurately document member interactions and actions taken in designated systems
• Follow departmental workflows, job aids, and company policies to ensure consistent and compliant operations
• Identify workflow issues and recommend process improvements
• Participate in team meetings, training, and continuous improvement efforts
• Comply with all Federal, State, and HIPAA requirements
• Other duties as assigned

Qualifications

Education and Experience

• High School Diploma or equivalent required
• Bachelor’s Degree or equivalent work experience preferred
• Two (2) years experience as a certified pharmacy technician preferred
• Active Pharmacy Technician license required

Skills

• Bilingual in Vietnamese, Mandarin, Cantonese, and/or Korean required
• Strong communication and member engagement skills
• Comfortable working across multiple technology platforms and vendor portals
• Demonstrated ability to learn new systems quickly and adapt to changing workflows
• Ability to work effectively in a feedback-driven, team-based environment
• Exceptional customer service skills, including verbal and written communication
• Strong active listening skills
• Familiarity with Centers for Medicare and Medicaid Services (CMS) regulations
• Proficient knowledge of retail pharmacy workflow and claims adjudication
• Understanding of health plan formularies, prior authorizations, etc.
• Ability to collaborate and be a team player
• Must be a quick learner

Wage Range: $29.00 to $35.00 per hour

Physical & Working Environment.

Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:

• Must be able to travel when needed or required
• Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
• Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs.

Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly.

Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business.

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency.

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