Pharmacy Quality Specialist
1 day ago
Job Summary
The Pharmacy Quality Specialist will play a vital role in supporting Pharmacists and Advanced Practice Clinicians in Medication Therapy Management (MTM) and quality programs. This position will be responsible for assisting with outreach calls to eligible health plan members and/or caregivers to introduce and explain the MTM benefit, verify and obtain demographic and medication-related information, and schedule appointments for the MTM Pharmacist to complete the comprehensive medication review or target intervention.
Key Responsibilities
- Verify member demographic information, provider, and pharmacy contact information and enter it into the MTM platform as needed.
- Contact members to introduce and explain the benefits of the MTM program and follow up as needed to schedule appointments for the MTM Pharmacist.
- Receive and respond to calls from provider offices, members, and pharmacies, making determinations of appropriate action required and escalating calls as needed.
- Coordinate outbound faxing and subsequent follow-up calls with healthcare providers.
- Assess and interpret member needs and requirements, triaging to a clinical pharmacist or other areas when appropriate.
- Support Medicare Star and other quality initiatives.
Requirements
- High school diploma or GED.
- 3+ years of experience in a related field.
- Active pharmacy technician license in the state of North Carolina (PTCB: Pharmacy Technician Certification Board - Nationally Accredited Certification Exam), preferred.
- Able to work a schedule from 10:00 AM to 7:00 PM, Monday through Friday.
Salary Range
$47,300.00 - $66,600.00-
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