Job Description

As a registered nurse with an Illinois nursing license, you will work remotely to enhance the quality of member care. The Pharmacy Technician plays a vital role in supporting patient health outcomes by providing telephonic engagement to assist in the adherence to prescribed medications and to help patients navigate filling of prescriptions across the healthcare continuum. Working within a managed care environment, this position ensures patients receive timely, coordinated pharmacy support while contributing to value-based care initiatives. The Pharmacy Technician partners closely with clinical and Healthguide teams to connect patients with the resources they need.

WHAT YOU’LL BE DOING

• Conducting outbound telephonic outreach to patients to support medication adherence, address barriers to care, and promote engagement with their healthcare plan.
• Assisting patients in navigating healthcare services, including coordination of prior authorizations, benefit inquiries, and referrals to appropriate care resources.
• Supporting care gap closure activities by identifying members in need of medication reviews, refills, or preventive services and coordinating appropriate follow-up.
• Collaborating with pharmacists, nurses, and care coordinators to ensure seamless transitions of care and effective medication management for high-risk members.
• Documenting all patient interactions, interventions, and outcomes timely and accurately within the applicable health information or care management system.
• Maintaining knowledge of formulary guidelines, managed care benefit structures, and value-based program requirements to appropriately educate and support members.
• Ensuring all activities comply with HIPAA, state and federal regulations, and organizational quality and safety standards

Qualifications

WHAT YOU'LL NEED TO HAVE

• High school diploma or equivalent required.
• Current, unrestricted Pharmacy Technician certification in the State of Illinois (CPhT or equivalent) required; must be maintained in good standing throughout employment.
• Minimum of 2 years of experience working as a Pharmacy Technician in a retail, specialty, health plan, or managed care setting.
• Understanding of value-based care principles, including quality metrics, HEDIS measures, and pay-for-performance models.
• Demonstrated experience in telephonic patient engagement, including outreach, education, and support in navigating healthcare services.
• Knowledge of pharmacy law, drug interactions, and safe medication dispensing practices applicable to the State of Illinois.
• Strong verbal communication skills with the ability to clearly explain medication instructions, benefit information, and care navigation options to patients over the phone.
• Proficiency in Microsoft Office Suite and experience with pharmacy or health plan information systems.

WHAT WE'D LOVE FOR YOU TO HAVE

• Experience working within a managed care organization, health plan, or pharmacy benefit management (PBM) environment.
• Familiarity with Medicare, Medicaid, or commercial health plan formulary and benefit structures.
• Bilingual proficiency (English/Spanish or other languages) to support diverse patient populations.
• Experience with Medication Therapy Management (MTM) programs or population health initiatives.
• Associate’s or Bachelor’s degree in a health-related field.
• Experience in fully remote environment.

Additional Information

The salary range for this role is $26.00 to $27.50 per hour based upon experience and skills.

ALIVE with Purpose: How We Thrive at Guidehealth

At Guidehealth, our values come to life in everything we do.

• We are Driven by A ccountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike.
• Always Growing, Always L earning — staying curious and continuously improving inspires us to shape a better future for healthcare.
• With Collaborative I nnovation, we solve problems creatively, making every experience better for our employees and the patients we serve.
• At Guidehealth, Every V oice Matters — we believe our collective strength is rooted in the unique perspectives of each team member.
• And through E mpathy in Action, we build stronger connections with those who count on us.
• This is what it means to be ALIVE with purpose. This is how we thrive — together — at Guidehealth.

BENEFITS:

While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include:

• Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
• Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
• Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
• Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.
• Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
• Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
• Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need.
• Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.

All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits.

COMPENSATION:

The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.

OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT

Diversity, inclusion, and belonging are at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment.

OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA

This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.

As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements.

REMOTE WORK TECHNICAL REQUIREMENTS

Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements.

SECONDARY EMPLOYMENT

At Guidehealth, we value transparency and collaboration as part of our commitment to excellence. As your primary employer, we kindly ask all team members to disclose any secondary employment, regardless of whether it may present a potential conflict of interest.

To ensure smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on.