Job Description

Are you looking to join a team of like-minded professionals who are passionate about serving Douglas County OHP members, engaging with the community, and delivering outstanding customer service?

At Umpqua Health, we are committed to recruiting top-tier team members who provide exceptional service with professionalism, compassion, and respect for the unique needs of every individual we serve.

If you thrive in a fast-paced, dynamic healthcare environment and are ready to make a meaningful impact, you may be the team member we’re looking for.
We seek individuals who:

• Possess genuine compassion and empathy for our members
• Can adapt to ever-evolving healthcare regulations and requirements
• Are motivated by challenges and dedicated to delivering superior customer service

Join us in serving over 40,000 Douglas County residents as we administer Medicaid benefits and work together to improve health outcomes in our community.

Umpqua Health is a mission-driven, community-focused healthcare organization proudly serving Douglas County, Oregon. Locally owned by  CHI Mercy Health and the  Douglas County Individual Practice Association (DCIPA), we are deeply rooted in the region and dedicated to improving the health and well-being of our friends, families, and neighbors.

Umpqua Health is the parent company of Umpqua Health Alliance, one of 16 Oregon coordinated care organizations serving the Oregon Health Plan. The Roseburg-based company and its subsidiaries are focused on expanding access, improving care, and reducing unnecessary costs across the clinical space for more than 40,000 Douglas County residents on the Oregon Health Plan and close to 10,000 more individuals with Medicare, private insurance or Exchange coverage.

Applicant must reside in Douglas County, Oregon

 

JOB TITLE:	Pharmacy Tech Manager	DEPARTMENT:	Pharmacy
EMPLOYEE NAME	EE Name	REPORTS TO:	Director, Clinical Pharmacy Services
STATUS:	FT, Exempt	WAGE RANGE:	Wage Band 15

 

POSITION PURPOSE

Responsible for leading and managing pharmacy technician operations, including oversight of medical management functions (utilization management, pharmacy management, and care coordination). Ensures compliance with organizational policies, state and federal regulations, and supports strategic initiatives to improve pharmacy services. Provides leadership, mentorship, and performance management for pharmacy technician staff.

 

ESSENTIAL JOB RESPONSIBILITIES

Leadership and Staff Oversight

• Manage daily operations and scheduling of pharmacy technician staff.
• Conduct staff huddles, assign tasks, and ensure coverage during absences.
• Monitor workload distribution and ensure timely completion of responsibilities.
• Oversee performance management, coaching, and onboarding of new staff.
• Maintain HRIS records including PTO requests, timecards, and leave tracking.
• Develop and update Standard Operating Procedures and departmental policies.
• Collaborate with leadership to implement system-wide process improvements.

Regulatory Compliance

• Maintain current knowledge of Oregon Administrative Rules (Medicaid).
• Ensure compliance with internal policies, Code of Conduct, and applicable regulations.

Utilization Review

• Review pharmacy and medical service coverage requests and document decisions.
• Apply Health Evidence Review Commission guidelines and utilization management protocols.
• Analyze claims data for medical necessity and cost-effectiveness.
• Support pharmacist review with accurate documentation and benefit verification.

Formulary Management

• Assist with formulary updates and benefit configuration changes.
• Generate reports on drug utilization and market trends.
• Conduct pricing and utilization analyses to support formulary decisions.
• Maintain medical and prescription drug policies in collaboration with pharmacy leadership.

Care Coordination

• Support Medication Management program operations and member outreach.
• Coordinate with case management and providers to resolve medication barriers.
• Educate members and practitioners on benefit structures and responsibilities.
• Ensure timely medication dispensing and assist with grievance and appeals processes.

Project and Program Management

• Lead pharmacy technician initiatives and support strategic program implementation.
• Contribute to workflow development and continuous process improvement.
• Manage quality improvement and population health initiatives.

Other Duties

• Perform additional responsibilities as assigned to support departmental goals .

GUIDING BEHAVIORS

Accountability

Always demonstrate the highest performance and behavior standards.  Share responsibility and expect others to be accountable.

Efficiency

Demonstrate a proactive approach to problem identification and solutions. Be innovative and solutions oriented, improving processes while reducing costs.  Demonstrate appropriate time-management skills. Optimize the use of available resources.

Be a Team Player

Support and assist your team members.  Be available to help and learn from your team.  Keep an open mind to feedback and earn trust of staff.

Integrity

Keep your promises, commitments, and confidences. Be honest and straightforward dealing with all issues fairly and consistently.

Stewardship

Adhere to all state and federal regulations relating to your position including the Health Insurance Portability and Accountability Act (HIPAA), Fraud & Abuse and Occupational Safety and Health Administration (OSHA) laws. Abide by Company policies and procedures at all times.

Dignify Others

Diversity – Demonstrates the representation of all varied identities and differences. Seeking to proactively engage, understand and draw on a variety of perspectives.
Equity – Demonstrates fair treatment, equality of opportunity, and fairness in access in information and resources for all.
Inclusion – Demonstrates building a culture of belonging by actively inviting the contribution and participation of all employees. Use your voice to add value and create balance when facing differences. No one person shall be called on to represent an entire community.

 

CHALLENGES

• Working with a variety of personalities, maintaining a consistent and fair communication style.
• Satisfying the needs of a fast paced and challenging company.

 

QUALIFICATIONS

Minimum Qualifications:

• Current National and Oregon Certified Pharmacy Technician (CPhT) licensure.
• 4+ years of pharmacy technician experience.
• 4+ years of managed care experience.
• 2+ years of project management experience.
• 1+ year of program management experience.
• Experience in quality improvement and population health management.
• Proficiency in pharmaceutical and medical terminology.
• Strong computer skills including MS Office and data analytics.
• No suspension/exclusion from federal healthcare programs.

Preferred Qualifications:

• College degree in business, health administration, communications, or related field.
• Excellent customer service and communication skills.
• Experience leading diverse teams and working with varied communication styles.
• Ability to manage remote workflows and meet deadlines independently.
• Bi-lingual capabilities and cultural competency.

 

PHYSICAL DEMANDS

Typical office environment requiring standing, sitting, walking, bending, and lifting up to 25 plus pounds.  May be exposed to patient and environment conditions such as unpleasant sights, smells and contagious diseases.

UH is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. UH makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, read through our EEO Policy.

  EMPLOYEE SIGNATURE

DATE

 

 

About Umpqua Health

At Umpqua Health, we're more than just a healthcare organization; we're a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of individuals and families throughout our region. Umpqua Health serves Douglas County, Oregon, where we prioritize personalized care and innovative solutions to meet the diverse needs of our members. Our comprehensive services include primary care, specialty care, behavioral health services, and care coordination to ensure our members receive holistic, integrated healthcare. Our collaborative approach fosters a supportive environment where every team member plays a vital role in our mission to provide accessible, high-quality healthcare services. From preventative care to managing chronic conditions, we're dedicated to empowering healthier lives and building a stronger, healthier community together. Join us in making a difference at Umpqua Health.

Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.

Job Tags

Full time, Apprenticeship, Local area, Remote work,

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