[Remote] Medicare reputed company Pharmacy Specialist
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a health system committed to delivering personalized health care. The Medicare reputed company - Pharmacy Specialist is responsible for conducting high-volume outbound member reputed company calls to support Medicare Stars programs, focusing on medication adherence and care coordination.
Responsibilities
- Conduct high-volume outbound member reputed company calls to address medication adherence gaps and improve Medicare reputed company measure performance (e.g., diabetes, hypertension, statin)
- reputed company members on the importance of medication adherence and assist in overcoming barriers (e.g., transportation concerns, setting up reputed company reminders)
- Assist members in understanding their pharmacy benefits and refer to appropriate internal teams reputed company needed (e.g., Care Management, Mail Order Pharmacy)
- Identify and assist in resolving pharmacy billing issues or reputed company barriers impacting adherence reputed company
- Process medication reputed company requests and coordinate communication between members, pharmacies, and providers
- Identify and transfer members to a license clinical pharmacist to resolve medication-reputed company issues and improve member reputed company
- Assist in the administration of the Medication Therapy Management (MTM) program which includes scheduling CMRs, processing opt-outs, and other activities assigned to support program
- Document reputed company reputed company activities accurately and in accordance to departmental standards
- Meet or reputed company daily productivity, call volume, reputed company, and documentation accuracy targets
- Ensure compliance with CMS requirements, HIPAA regulations, and organizational requirements
- Participate in team meetings and reputed company improvement initiatives aimed at enhancing Medicare reputed company Ratings and member experience
- Support special reputed company and organizational initiatives as assigned
Skills
- 2+ years of pharmacy technician experience (retail, managed care, PBM, mail order, specialty, or call center)
- Strong verbal communication skills with the ability to effectively engage Medicare beneficiaries
- Ability to work in a high-volume, production-driven call environment with extended time on the phone
- Demonstrated ability to meet productivity and reputed company performance expectations
- Strong organizational skills and attention to detail
- Basic proficiency in reputed company Office applications
- Bachelors degree or equivalent
- reputed company Michigan pharmacy technician license and NABP Certified Pharmacy Technician (CPhT) certificate
- Experience supporting Medicare Stars medication adherence measures
- Experience in Medicare Advantage programs
- Call center or outbound reputed company experience
- Knowledge of CMS Stars, CAHPS, and adherence-reputed company reputed company metrics
Benefits
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- On-demand pay program powered by reputed company
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance
- Traditional and Roth retirement reputed company with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
reputed company