Key Facts

Remote From:

Internships

Entry-level / graduate

English

Hard Skills

Medication Therapy Management Insurance Reviews Policy Enforcement Quality Assessment Clinical Assessments Clinical Assessments Program Evaluation

Other Skills

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Diagnostic Skills
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Quality Assurance
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Communication
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Analytical Skills
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Time Management
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Teamwork
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Detail Oriented
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Coaching
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Problem Solving

Roles & Responsibilities

Student pharmacist or intern
Clinical skills for reviewing MTM service components
Experience with claim documentation requirements
Understanding of quality assurance processes

Requirements:

Complete monthly claim review using clinical judgment and established policies and procedures by deadlines as assigned
Support the Outcomes Network through systematic and consistent feedback and coaching regarding clinical appropriateness of interventions
Identify quality improvement opportunities through ongoing evaluation of the efficiency and effectiveness of the quality assurance program
Other duties as assigned

Job description

JOB SUMMARY

Student pharmacist/intern using clinical skills to provide review of select MTM service components including claim documentation requirements and quality assurance processes.

ESSENTIAL DUTIES & RESPONSIBILITIES

Complete monthly claim review using clinical judgment and established policies and procedures by deadlines as assigned
Support the Outcomes Network through systematic and consistent feedback and coaching regarding clinical appropriateness of interventions
Identify quality improvement opportunities through ongoing evaluation of the efficiency and effectiveness of the quality assurance program
Other duties as assigned