Job Description

Imperial Health is hiring a Pharmacy Technician.

This is for a healthcare plan, not a retail role.

Job summary:

Assists pharmacist with managing specific reports that impact medication adherence, medication reconciliation and other STARs and HEDIS measures. Contributes to team effort by providing outreach to members and accomplishing related results as needed.

ESSENTIAL JOB FUNCTIONS:

1. Assists in managing Health Plan and various affiliated Health Plan specific reports that impact medication adherence, medication reconciliation, and other STARs and HEDIS measures.
2. STARs and HEDIS measures include but not limited to Adherence to Diabetes, Hypertensive (RAS Antagonists) and statin medications; Statin Use in Persons with Diabetes (SUPD); Comprehensive Medication Review (CMR); Statin Therapy in Patients with Cardiovascular Disease (SPC).
3. Oversees and manages the pharmacy concierge team (outreach team). Incorporates new strategies to improve member outreach affecting STARs related medication adherence measures.
4. Responsible for managing member, provider, and vendor outreach that impact Part D quality initiatives using data entry to track outcomes of all communications and outreach. Collaborates with healthcare professionals of all levels involving patient medications.
5. Direct member outreach to address adherence gaps by identifying/addressing barriers.
6. Phone and faxing for Provider office outreach to obtain confirmation of prescription and other required data.
7. Provides education for the PCP offices and staff for the Part D STAR and HEDIS measures.
8. This position will confirm eligibility and benefits, while providing support for services based on member guidelines. Plays a key role in maintaining an elevated level of patient satisfaction by providing patients with exceptional customer service and serving as the liaison between patients, physicians, and pharmacies

Job Tags

Similar Jobs