Office Specialist
1 week ago
Adelante Healthcare is seeking a highly skilled and dedicated Office Specialist to join our team. As a key member of our healthcare team, you will be responsible for contributing to Adelante's Value Based Care (VBC) measures, participating in related projects/initiatives, compliance, auditing, and medication management related to the health plan metrics five-star ratings for Adelante Healthcare.
Responsibilities- Achieve therapeutic goals and improving patient outcomes.
- Assist patients with barriers to care.
- Communicate with pharmacy staff and providers on patient outcomes.
- Prioritize patients' immediate needs.
- Maintain health plan metrics criteria in portals.
- Analyze spreadsheets and patient data.
- Provide support in medication adherence opportunities as well as other pharmacy related needs.
- Prioritize converting prescriptions to 90 or 100-day supply.
- Monitor single fills to help anticipate when next fill is due.
- High school diploma or GED from an accredited institution.
- Certified Pharmacy Technician and/or Certified Medical Assistant, required.
- Three (3) plus years of medication management experience.
- Two (2) plus years of experience in a healthcare or pharmacy setting.
- 340B experience strongly preferred.
- Excel experience required.
- Strong analytical skills with attention to detail and the ability to translate data into a quality analysis.
- Self-motivated, action-oriented, strong drive with the ability to make decisions, act independently, and meet deadlines.
- Medication insurance billing and medication claim submission experience.
- Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow the guidelines from the American Heart Association and Red Cross (cognitive and skills evaluations).
- Valid Level One Fingerprint Clearance Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations.
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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