Job description

Competitive Compensation & Benefits Package!

Position eligible for –

Annual incentive bonus plan
Medical, dental, and vision insurance with low deductible/low cost health plan
Generous vacation and sick time accrual
12 paid holidays
State Retirement (pension plan)
401(k) Plan with employer match
Company paid life and disability insurance
Wellness Programs
Public Service Loan Forgiveness Qualifying Employer

See attachment for additional details.

Office Location: Remote option available; Available for any of Partners' locations.
Projected Hiring Range: Depending on Experience
Closing Date: Open Until Filled

Primary Purpose of Position: Perform duties to provide daily tactical support to the Partners Health Management pharmacy team in coordinating work with the Clinical Teams, Care Management, Community Pharmacies, Clinical Pharmacist(s) and Senior Director of Pharmacy Services in the coordination and maintenance of the pharmacy program teamwork output for care management medication support.

Role and Responsibilities:

• Work collaboratively with the member care team (care managers, pharmacists, etc.) to provide timely patient specific medication information when requested

• Document all patient, care team member and provider interactions in Internet-based care management system per organizational and NCQA process and guideline requirements

• Support medication reconciliation process for all Partners’ staff

• Assist Partners’ pharmacy and care management with new hire orientation and general staff education on Partners’ pharmacy medication management processes and documentation in internet-based electronic health record

• Assist Partners’ Health Management Team members with educating community pharmacists and providers on the health plan’s pharmacy benefit, clinical policies, and administrative processes via website postings, focused/targeted outreach efforts, blast faxing or other methods of communication

• Report complaints and grievances/complaints related to the pharmacy provider network to the Senior Director of Pharmacy for follow-up action as determined

• Assist with the pharmacy drug utilization review (DUR) and reporting/analytics process as an ex-officio member of Partners DUR/Pharmacy and Therapeutics committee

• Assist with members’ inquiries related to the formulary/preferred drug list (PDL) process as requested

• Prepare requested pharmacy analytics reports using the internet-based electronic health record, Reports Manager, HBI, or PBM reporting software for provider, network pharmacist or other Partners team member review after approval by Senior Director of Pharmacy or Clinical Pharmacist

• Assist in other administrative duties of department; perform other tasks as required/needed/requested

• Provide cross-coverage for Pharmacy Tech-PBM Liaison as required/needed/requested

Knowledge, Skills and Abilities:

• Knowledge in pharmacy practices and procedures-including understanding of state and Federal laws related to pharmacy practice, healthcare/medical terminology, medication names/general uses

• Experience with Microsoft Word required, other Microsoft suite of programs considered essential. Experience with Excel or other spreadsheet analytics software is required.

• Must be well organized, have demonstrated excellence in written and verbal communication skills, and proficiency in managing high stress situations with grace

• Ability to identify problems including complex multi-layered issues and determine potential solutions, both independently and as team member, using critical thinking skills

• Demonstrated excellence in customer service skills

Education/Experience Required: High school diploma or equivalent. Five plus (5+) years of pharmacy experience, 2 years of which must have been in a managed care or healthcare environment in a significant administrative functional role.

Education/Experience Preferred: Bachelor’s degree in business or healthcare related field preferred. Medicare and/or Medicaid experience preferred.

Licensure/Certification Requirements: Current registration with NC State Board of Pharmacy as Pharmacy Technician or eligible and registered within 30 days of hire; current/active National Pharmacy Technician Certification (CPhT) (via PTCB, ExCPT or other certification body accepted by NC Board of Pharmacy).

Required profile