Medication Management Specialist

at  Novant Health

Charlotte, NC 28204, USA -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate24 Jan, 2025Not Specified26 Oct, 20245 year(s) or aboveCredentials,Medicare,Managed Care,Software,Ged,Adherence,It,Processing,Travel,Medication Therapy Management,History,Communication Skills,Patient Care,Writing,Customer ServiceNoNo
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Description:

PREFERRED EXPERIENCE/CREDENTIALS

  • 5+ years of outpatient pharmacy or managed care
  • Customer service oriented
  • Highly motivated individual who is self-directed and able to execute tasks in a quickly changing environment
  • Ability to multi-task, prioritize essential tasks and meet deadlines
  • Basic understanding of Medicare, STAR ratings
  • Requires knowledge of prescription assistance programs and available resources to reduce cost of medications
    Remote opportunity within our approved hiring footprint. Will need to come on-site as needed.

Essential functions include:

  • Partnership with NHMG providers and clinical staff to provide remarkable patient care.
  • Assists with Medication Therapy Management and other clinical pharmacy outreach programs.
  • Assists pharmacists with reviewing and processing refills, prior authorizations, and patient assistance applications.
  • Obtain medication histories, including fill history, for medically complex patients.
  • Addresses insurance, reimbursement, and payment issues as appropriate by communicating with insurance providers, patients, and pharmacists.
  • Monitors adherence by contacting the patient at least monthly to ensure adherence and determine refill needs as applicable.
  • Contacts patients and schedules appointments as necessary.
  • Have a clear understanding of quality improvement principles.
  • Contributes to process improvement projects.
  • Ability to communicate effectively both orally and in writing while having a collaborative approach to patient care.
  • Demonstrating proficiency with equipment and software.

Responsibilities:

MEDICATION MANAGEMENT SPECIALIST (REMOTE ROLE)

Novant Health is seeking a Medication Management Specialist, to join our ambulatory pharmacy team, to deliver optimal medication management across all dimensions of care, every time.

Essential functions include:

  • Partnership with NHMG providers and clinical staff to provide remarkable patient care.
  • Assists with Medication Therapy Management and other clinical pharmacy outreach programs.
  • Assists pharmacists with reviewing and processing refills, prior authorizations, and patient assistance applications.
  • Obtain medication histories, including fill history, for medically complex patients.
  • Addresses insurance, reimbursement, and payment issues as appropriate by communicating with insurance providers, patients, and pharmacists.
  • Monitors adherence by contacting the patient at least monthly to ensure adherence and determine refill needs as applicable.
  • Contacts patients and schedules appointments as necessary.
  • Have a clear understanding of quality improvement principles.
  • Contributes to process improvement projects.
  • Ability to communicate effectively both orally and in writing while having a collaborative approach to patient care.
  • Demonstrating proficiency with equipment and software


REQUIREMENT SUMMARY

Min:5.0Max:10.0 year(s)

Hospital/Health Care

Pharma / Biotech / Healthcare / Medical / R&D

Health Care

Diploma

Proficient

1

Charlotte, NC 28204, USA