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Remote Pharmacy Programs Specialist

Pharmacy - Pharmacy Technician 7 days ago Jersey City, NJ

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


  • 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)


  • 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.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled