Pharmacy Network Liaison at HealthPartners

Bloomington, Minnesota, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Jul, 26

Salary

44.35

Posted On

06 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Network recruitment, Relationship management, Medication management, Data auditing, Critical thinking, Problem-solving, Analytical skills, Organizational skills, Communication skills, Microsoft Office Suite, Regulatory compliance, Pharmacy quality programs, Contracting, Credentialing, Data integrity

Industry

Hospitals and Health Care

Description

HealthPartners is hiring a Pharmacy Network Liaison. This position is responsible for establishing new and supporting existing relationships between HealthPartners and pharmacy services providers that participate in HealthPartners medication management and other pharmacy quality programs that advance our medication optimization efforts. Broad responsibilities include network recruitment, engagement, support, and assuring compliance with HealthPartners program requirements. ACCOUNTABILITIES: Network Recruitment, Engagement, and Support: 1. Works with Clinical Pharmacy Program Manager to identify areas where HealthPartners needs local medication management providers to better serve our membership. 2. Actively recruits medication management providers into the HealthPartners network. 3. Assures that network medication management providers are fully engaged in HealthPartners medication management programs. 4. Supports potential medication management providers and HealthPartners Contracting and Credentialing through contracting and credentialing process. 5. Provides network medication management providers with support related to HealthPartners medication management program requirements, claims submission, clinical and regulatory data submission, and payment issues. 6. Participate in medication management program design with Pharmacy Administration leadership utilizing feedback from medication management providers that will improve network participation and engagement. 7. Works with marketing to develop materials for network providers to increase member engagement in medication management services. 8. Works with retail pharmacies to increase active engagement in the HealthPartners Partners in Excellence program and other pharmacy quality programs that support HealthPartners medication optimization initiatives. Assists in oversight of those programs. Compliance: 1. Works with HealthPartners Informatics and Pharmacy Programs Coordinator to develop and maintain policies and procedures for auditing of medication management provider submitted data that will be reported to CMS, DHS, and employer groups. 2. Supports Pharmacy Programs Coordinator with auditing of medication management provider submitted data. 3. Works to quickly resolve identified data integrity issues with network providers and/or HealthPartners IS&T/Informatics. REQUIRED QUALIFICATIONS: * Bachelor’s degree in healthcare related field or equivalent in college courses and job experience. * Two years experience managing single or group client relationships * Excellent computer skills including Microsoft Office Suite. * Strong analytical and problem-solving skills and attention to detail. * Demonstrated ability in critical thinking, self initiative, and self direction. * Strong organizational skills. * Excellent verbal and written communication skills. * Must be able to establish and maintain effective, courteous, and confidential relationships with coworkers, staff, employer groups, and members. PREFERRED QUALIFICATIONS: * Background and knowledge with Medication Therapy Management programs * Pharmacy related experience * Medicare Part D experience * Knowledge of HealthPartners systems * Ability to lead and implement change * Ability to present information independently to individual and group settings At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work. We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world. At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change. Benefits Designed to Support Your Total Health As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care. Join us in our mission to improve the health and well-being of our patients, members, and communities. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

Responsibilities

The Pharmacy Network Liaison is responsible for recruiting and supporting medication management providers to ensure network engagement and program compliance. They also collaborate with internal teams to develop policies, audit provider data, and improve medication optimization initiatives.