Tracy R. Jones
Canyon Country, CA 91387
**************@*****.***
Registration TCH #83006
Objective: Seeking a responsible position as a Pharmacy Technician, Customer Service Rep. which offers opportunities for creativity and advancement.
Professional Experience:
*12+ years of Retail Pharmacy Technician experience, matched with 10 months of experience Managed Care settings
*Strong experience handling patient triage, assisting with medication refills, and ensuring customers received medication in timely fashion
*Knowledge and experience with chronic diseases and medications that treated such conditions *Incumbent state of California Pharmacy Technician Licensure: TCH83006 (Exp. 12/31/2025)
*Computer proficient in Microsoft Office applications
*Strong 10-key data entry and keyboarding skills (40+ WPM)
*Excellent interpersonal skills and excels at working in fast-paced Pharmacy settings
Centene Corporation October 25, 2023-April 23, 2024
CD/PA Clerk/Pharmacy Technician (remote)
*Responsible for covered determination and prior authorization approval
*Work with different exceptions non-formulary, formulary, prior authorization, step therapy, quantity limit, medicare B and medicare D (BvsD).
*Express Script Pharmacy
* Notify physicians, providers, and members of coverage determination request decisions
HealthCare Support – Health Net/Centene January 2022 – September 30th, 2022
Pharmacy Technician – Member Outreach
* Responsible for outreach to members
* Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required
* Enter and document coverage determination request decision into the PBM system and notify providers and/or members
* Respond to client inquiries regarding authorization approvals and PBM on-line applications
* Refer coverage determination requests for specialty drugs to delegated vendor or client for processing
* Notify physicians, providers, and members of coverage determination request decisions
Omnicare Pharmacy of Southern – California Canoga Park, CA May 2008 – January 2022 Pharmacy Technician/Compliance Supervisor
* Responsible for maintaining/filling narcotic medication
*Responsible for maintaining a professional compliance dept. and ensuring company stays in compliance with DEA regulations
* Retrieving approvals on narcotic medications from doctors
* Reported doctors to the DEA (Drug Enforcement Agency) if not compliant with the rules for C2 Medications
*Triage Customer Service Dept.
* Answered high call volume assisting patients’ medication refills and new orders to ensure our customers received medication in timely manner
Education:
Everest College- Van Nuys, Ca
2008
National Business Academy- Van Nuys, Ca
1988
Grant High School High School Diploma- Van Nuys, CA
1987