- Make outbound phone calls to members to close gaps in care.
- Field incoming member return calls to address gaps in care.
- Manage daily reports and call lists to prioritize members needing a prescription refill
- Identify and address barriers preventing members from being adherent with their medications
- Identify adherence issues that require escalation to a pharmacist and facilitate the escalation process
- Document Barriers, actions taken, follow ups and outcomes that result from member interventions
- Support the Clinical Pharmacists with adhoc outreach as needed
- Research alternative phone numbers for members when unable to reach due to inaccurate contact information
- Effectively manage internal and external communications
- Collaborate with the MTM team, other pharmacy and Stars team members to achieve the Stars goals
- Build rapport, influence members and their care givers to improve adherence with prescribed medications
- Contact pharmacies to facilitate prescription refills as needed
- Identify and properly escalate member's non-clinical Pharmacy related benefit/plan questions and non-clinical Pharmacy related benefit/plan questions.
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Pharmacy Technician - Jacksonville, United States - OpTech
Description
Why work at OpTech? OpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work at OpTech, not only do you get health and dental benefits on the first day of employment, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today OpTech is an EOE, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Responsible for making phones calls to members to support them with closing Stars care gaps. Responsibilities also include identification of medication adherence barriers and assisting with resolution of the identified barrier. Working with the Medicare Pharmacy team to support achievement of the overall pharmacy Stars goal.
• Pharmacy Technician Certification
• Required minimum 5 years direct pharmacy work experience
• Required minimum 3 years call center or direct member outreach experience
Preferred:
• 3 years Medicare Stars programs member outreach experience
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