Pharmacy Government Stars Specialist

This is a fully remote position, open to applicants in Colorado, +5 more states.

📋 Description

• Perform outbound outreach to members, providers, and pharmacies to aid in medication adherence and enhance quality improvement initiatives.

• Recognize and tackle barriers that affect CMS Stars measures and the health outcomes of members.

• Collaborate with members, providers, pharmacies, and internal teams to enhance medication access and resolve healthcare-related issues.

• Inform members about medication adherence and involvement in quality programs.

• Organize prescription refills and assist with any issues that hinder medication access.

• Oversee daily outreach activities, productivity targets, and work queues while upholding quality standards.

• Accurately document interactions and ensure confidentiality, regulatory, and organizational compliance.

• Utilize data and reporting to pinpoint intervention opportunities and enhance performance.

• Engage in process improvement initiatives aimed at improving member experience and quality outcomes.

• Prioritize tasks and manage various initiatives in a fast-paced environment.

• Act as a liaison among members, providers, pharmacies, and internal teams to support CMS Stars initiatives, including MTM, Medication Adherence, SUPD, and other quality programs.

⛳️ Requirements

• Applicants must reside in Utah, Colorado, Idaho, Wyoming, Montana, or Nevada.

• Candidates living or intending to live in California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, or Washington will not be considered.

• Proven experience in a pharmacy or government benefits support role.

• Proven ability to meet performance standards for a Pharmacy Government Specialist II.

• Proven ability to deliver exceptional customer service.

• Proven ability to listen and communicate effectively.

• Proven ability to solve problems and work under pressure.

• Proven proficiency in navigating computer systems, typing, and utilizing technologies.

• Proven experience in mentoring or training related to pharmacy or government benefits.

• Current National Pharmacy Technician certification is preferred.

• Comfortable spending substantial time on the phone and conducting approximately 80% outbound outreach.

• Ability to quickly build rapport and apply motivational interviewing techniques.

• Ability to see and read information, labels, documents, and monitors.

• Ability to communicate verbally and comprehend spoken information promptly and accurately.

• Manual dexterity for frequent computer usage and typing.

🏝️ Benefits

• Benefits eligible.

• Comprehensive benefits package that includes wellness, health, security, connection, and engagement programs.

• PEAK program offering upfront tuition coverage paid directly to the academic institution.

• Over 100 learning options, including undergraduate studies, high school diplomas, and professional skills and certificates.

• PEAK eligibility commencing on the first day of employment.

• Provision of company equipment and remote-work support in accordance with Intermountain policies.