Remote Pharmacy Programs Specialist

RPh on the go is actively seeking a Remote Pharmacy Programs Specialist in the EST zone.

Overview:

• Create, manage, and respond to cases and/or escalate to Clinical Pharmacists on the Team.
• Contribute to improving Part D Star measures by resolving root causes of medication management problems and taking appropriate action to provide recommendations based on profile review or patient interview.
• Represent for the Pharmacy team and participate in cross-functional team meetings
• Collect and present data and trends from Pharmacy Benefits Manager (PBM) delegated functions to cross-functional operational workgroups to propose process improvements
• Deliver on cross-functional team initiatives and ad-hoc projects that impact Clover business goals
• Provide guidance to internal and external teams in regards to pharmacy clinical and regulatory workflows, policies and processes
• Serve as a liaison between PBM Account Management Team and Clover Health and escalate any questions that need PBM involvement for resolution.
• Organize pharmacy team meetings with internal and external partners.
• Think critically and problem solve to prioritize and work more efficiently
• Improve team s capacity and knowledge
• Distribute work to peers and strategize completion of quality assurance projects that require short turn around times
• Provide recommendations on and deliver Part D content knowledge updates on internal knowledge base directory annually and ad-hoc
• Lead educational training for cross functional teams on Part D knowledge and vendor platforms
• Execute critical role in CMS data validation audit through monthly enrollment quality assurance project for Medication Therapy Management Program (MTMP)

Requirements:

• You have a National Certification (CPhT) Pharmacy Technician License (preferred).
• At least three years of experience working in pharmacy, managed care organization, medical office or in a hospital setting.
• Fluent in Spanish.
• Understanding of managed care.
• PC skills in Windows-based applications.
• Excellent written and oral communication skills.

Please send an updated resume to madison.ne[email protected] or apply today for immediate consideration.