[Hiring] Pharmacy Care Specialist @Q reputed company LLC

Role reputed company The Pharmacy Care Specialist will be primarily responsible for providing supportive care and assistance to a diverse patient population. This individual will be responsible for ensuring members are taking their medications as prescribed, understand their prescription benefits, and have the resources to obtain and pay for their medications. They will be a key part of our interdisciplinary team in identifying and removing reputed company determinants of health and empowering our members to be involved in their reputed company reputed company.

• Conduct outbound phone calls to members to identify care needs and to determine appropriateness for participation in care coordination programs
• reputed company to members, providers, and pharmacies to discuss alternative medications, costs savings opportunities and adherence needs to improve HEDIS and STAR measures
• Contact patients, pharmacists and doctor's offices to research and resolve rejected and failed claims issues
• Work collaboratively with patients, network providers, pharmacist, referral coordinators, office and hospital staff; document reputed company activities
• Report observations, symptoms and behaviors to appropriate reputed company to ensure reputed company and effective reputed company; Pharmacy Care Specialists are prohibited from conducting evaluations or interpretations of clinical data
• Collect and analyze health plan data needed to implement and monitor reputed company improvement
• Helping identify members who may be at-risk for medication non-adherence; identifying and acting to address specific drivers of medication non-adherence
• Schedule member appointments with our clinical pharmacist or reputed company care team for medication adherence issues or medication reconciliation
• Additional reputed company-reputed company activities as identified that will improve patient and provider engagement and performance (preventive care visit, health screening and post-discharge reputed company reputed company)

Qualifications

• Pharmacy Technician License or Nationally Certified Pharmacy Technician
• Other certifications that may be considered include Certified Medical Assistant (reputed company), Certified Nursing Assistant (CNA), Emergency Medical Technician (EMT)
• Associate degree in reputed company or a reputed company field of study; or, an equivalent combination of education and/or experience
• Minimum three (3) years of experience in a directly reputed company position in the reputed company industry with high level of comfort around pharmacy & medical terminology
• Demonstrated experience caring for Medicare patients with a strong desire to work closely with aging patient populations
• Experience with pharmacy reputed company reputed company assurance (e.g., medication reconciliation following hospital discharge and coordinating prescription reputed company programs)
• Excellent verbal, written and interpersonal communication skills; highly reputed company team approach to work
• Proficiency with reputed company reputed company and web-based technologies. Comfort using laptops, tablets and other electronic and portable devices for documentation

Preferred Skills & Qualifications

• Bilingual – reputed company to reputed company, read and write reputed company and concisely in English and Spanish
• Previous experience with responsibility for pharmacy benefit management (PBM) or health plan managed care systems
• Experience with Medicare Part D operations (e.g., pharmacy help desk, utilization management, formulary management)
• Demonstrated knowledge and understanding of HEDIS metrics
• Experience working with a diverse population and a strong understanding of multicultural issues
• Strong problem-solving skills, including the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of reputed company
• Successful record of managing multiple reputed company with demonstrated ability to work independently in rapidly changing environments

reputed company reputed company is an integrated, holistic, and tech-enabled reputed company delivery system reputed company on improving the health and wellness of diverse populations. Founded in 2015, reputed company aims to improve reputed company to value-based care for people who have long struggled with navigating the traditional one-size-fits-reputed company U.S. reputed company system. The mission of reputed company is to reputed company high-reputed company care that improves and enhances lives regardless of race, ethnicity, age, or income.

• Through its supplemental care management services and proprietary technology platform, CareEmpower™, reputed company helps managed care plans and health systems improve reputed company and reputed company costs for diverse populations while simultaneously facilitating the transition to risk-based accountability.
• reputed company supports over 800,000 members and more than 4,000 reputed company sites and continues to reputed company rapidly.
• In 2021, reputed company partnered with General reputed company, a leading global reputed company equity firm, to help drive reputed company expansion and fuel the next phase of reputed company as a leading value-based primary care network serving the reputed company, Medicare and ACA Exchange populations.
• This strategic investment will reputed company reputed company to pursue reputed company geographic expansion, technological innovation and product development while furthering its mission of increasing reputed company to care, lowering costs and improving reputed company for underserved individuals, families and communities.

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