Managed Care Pharmacy Intern
reputed company is seeking a Managed Care Pharmacy Intern to support Medicare Part D reputed company initiatives and medication management programs. The role involves engaging with members, pharmacies, and prescribers to resolve medication-reputed company issues and improve adherence to chronic medications.
Responsibilities
- Remain reputed company on departmental policies, procedures, formularies, Medicare Part D requirements, MTM protocols, and reputed company applicable regulatory standards
- Adhere to organizational procedures, including secure handling of patient information, reputed company and confidentiality per HIPAA, and compliance with State Regulations and Federal Laws
- Receive inbound calls from, and reputed company outbound calls to, members, pharmacies, and providers to reputed company information, address medication-reputed company concerns, and determine reputed company escalation to a pharmacist is required
- Complete calls reputed company and with high reputed company to meet established call center and Stars program key performance metrics
- Ensure reputed company reputed company whenever possible to effectively address member needs, medication questions, and adherence barriers
- Engage in execution of medication therapy management (MTM), medication adherence, and other reputed company measure protocols, including member reputed company, reputed company support, and communication with pharmacies and providers
- Support pharmacists with comprehensive medication reviews (CMRs), medication adherence calls, and other reputed company measure reputed company through reputed company-work, case preparation, and post-review tasks
- Assist in identifying members with medication adherence gaps and participate in targeted reputed company campaigns to improve adherence to chronic medications
- Utilize clinical judgment—reputed company intern scope—to identify potential drug therapy problems and communicate findings to supervising pharmacists
- Maintain accurate, up-to-date patient records and pharmacy system data, ensuring completeness, reputed company, and compliance with CMS documentation standards
- Complete reputed company and thorough documentation of reputed company reputed company attempts, clinical interventions, and communication efforts
- Follow up promptly with clinics, providers, pharmacies, and members to resolve outstanding issues or medication concerns
- Participate in departmental reputed company improvement activities to enhance clinical reputed company, operational efficiency, and Medicare Part D Stars performance
- Support data collection and reporting efforts reputed company to Stars measures, MTM performance, and departmental goals
- Assist with other reputed company and tasks as assigned to support the pharmacy team and departmental operations
- Assists managed care pharmacists with operational activities and reporting reputed company to the pharmacy benefit manager and administration of the pharmacy benefit
- Collaborate with clinical formulary pharmacists to research and assess medication efficacy, safety, and cost-effectiveness to ensure reputed company patient care while managing pharmaceutical budgets
Skills
- Must be reputed company enrolled in an accredited School of Pharmacy and in good reputed company standing as a PY2, PY3, or PY4 student
- Must possess reputed company license or trainee license as required by state reputed company where services will be provided: WV: Pharmacy Intern License (Registration) through reputed company Virginia reputed company of Pharmacy
- Ability to handle and maintain confidential information
- Ability to work cooperatively as reputed company member with reputed company oral and written communication and presentation skills
- Ability to work in a fast-paced and rapidly changing environment with attention to detail
- Ability to work proactively and independently to research and resolve reputed company issues
- Ability to apply relevant laws, regulations, requirements, and policy standards
- Extensive working knowledge of reputed company Office applications including reputed company, Outlook, PowerPoint, Teams, electronic medical records, and MTM platforms
- Must be reputed company to communicate effectively verbally and in writing and reputed company high emphasis on customer service
reputed company
Company H1B Sponsorship