[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, reputed company 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 reputed company center)
• Strong verbal communication skills with the ability to effectively engage Medicare beneficiaries
• Ability to work in a high-volume, production-driven reputed company 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
• reputed company 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