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Job Posting Title

Clinical Pharmacy Program Specialist/CPT preferred-REMOTE

Job Description

This position is responsible for the management of programs. It requires extensive knowledge of medications, disease states, pharmacy sig codes, and extensive knowledge of quality, pharmacy, and medical services. Additional responsibilities include communications with patients, pharmacists, interns, clients, and vendors. Responsible for ensuring all client and quality targets are being met.

Responsibilities

• Maintain required documentation for all activities and medication recommendations.

• Through collaboration with IT and analytics departments, develop and track the appropriate metrics to monitor the quality, and effectiveness of programs.

• Develop and enhance current reporting metrics to provide continuous quality improvement efforts.

• Generate outcomes reporting using outreach activity reports and pharmacy/medical data for direct client deliverables.

• Collaboratively work with clients, providers, and pharmacists to ensure optimal pharmaceutical care.

• Maintains HIPAA standards and confidentiality of protected health information.

• Generate and enhance clinical outreach materials to maximize program results.

• Assist and participate in meeting company and department goals such as quality improvement activities.

• Ensure the team is compliant with CMS requirements, HIPAA, and Fraud Waste and Abuse.

• Audit the program processes to ensure all documentation is appropriate and CMS compliant.

• Communicate effectively with the Clinical Pharmacy Team to address any ongoing issues or problems.

• Coordinate with multiple vendors to drive results in a timely manner.

• Utilize medical claims expertise to identify new areas of opportunity for specialty clinical programs.

• Generate detailed program outcomes data by analyzing pharmacy and medical data.

• Other duties as assigned.

Education & Experience

• Education Level

• A Combination of Education and Work Experience May Be Considered.

• Bachelors

• Required

• Yes

• Fields of Study

• Experience Level

• 2+ years

• Required

• Yes

• Details

• Healthcare

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

• Bachelor's degree required with 3 years' healthcare experience. May consider an additional 4 years of relevant experience (for a total of 7 years of experience minimum) in lieu of Bachelor's degree.

• Ability to develop and operationalize policies and procedures.

• Must be extremely detail oriented and very organized.

• Ability to work in a high stress environment and manage multiple complex responsibilities.

• Exceptional written and verbal communication skills.

• Superior analytical, organizational and problem solving skills.

• Consensus builder who strives to develop partnerships, teamwork and good working relationships.

• Proven experience working with Microsoft Office Product Suite and databases.

• Comfortable with and ability to thrive in an ever-changing environment.

• Ability to think through issues and recommend effective solutions.

• Excellent time-management and multi-tasking skills.

• Analytical proficiency in evaluation of pharmacy and medical data.

Preferred Qualifications

• CPT - Certified Pharmacy Technician - Pharmacy

• Specialty/drug experience

Physical Demands

• Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"

• Must be able to constantly operate a computer and/or other office productivity equipment

• Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information

• Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Potential pay for this position ranges from $59,000.00 - $94,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.