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Pharmacy Quality Specialist

GLOBALHEALTH Tulsa, OK
  • Expired: 28 days ago. Applications are no longer accepted.

POSITION SUMMARY:
Performs tasks associated with quality initiatives to improve member care. Ensures the effective management of medication adherence, including data entry, member status monitoring, call tracking, and telephonic member/provider outreach.

ESSENTIAL DUTIES AND RESPONSBILITIES:

· Supports and maintains outreach initiatives with members and providers.

· Effectively educates Medicare members to enhance patient compliance and support quality metrics.

· Performs accurate data entry in the outreach tracking system.

· Reviews and maintains prescription records to identify and confirm medication adherence.

· Effectively educates providers on quality metric guidelines to enhance patient compliance on an as needed basis.

· Maintains a strong working knowledge of STARS measures set by CMS performance standards.

· Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy.

· Performs other duties as assigned.

EDUCATION AND EXPERIENCE:

· High School diploma or equivalent required

· Current Certified Pharmacy Technician or one year of experience with a health plan, medication adherence or within a quality department or pharmacy.

KNOWLEDGE, SKILLS AND ABILITIES:

· Computer literate and familiar with Microsoft applications (Word, Excel)

· Basic electronic health record knowledge and ability to quickly learn new software

· Detailed knowledge of quality performance measures and clinical health care

· Strong organizational and time management skills

· Strong verbal and written communication skills

WORK ENVIRONMENT:

This job operates in a clerical, office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. This is a largely sedentary role; however, some filing is required, which would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary. May need to lift up to 25lbs.

TRAVEL:

Travel is not required for this position

SUPERVISORY RESPONSIBILITY:

This position has no supervisory responsibilities.

OTHER DUTIES:

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

GLOBALHEALTH

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