Pharmacy Services Supervisor (not retail)

Job Description

On-Site Pharmacy Services Supervisor

Assists pharmacists with managing specific reports that impact medication adherence, medication reconciliation, and other STARs and HEDIS measures. Contributes to team effort by providing outreach to members and accomplishing related results as needed.

ESSENTIAL JOB FUNCTIONS :

Assists in managing Health Plan and various affiliated Health Plan-specific reports that impact medication adherence, medication reconciliation, and other STARs and HEDIS measures.

STARs and HEDIS measures include but are not limited to Adherence to Diabetes, Hypertensive (RAS Antagonists) and statin medications; Statin Use in Persons with Diabetes (SUPD); Comprehensive Medication Review (CMR); Statin Therapy in Patients with Cardiovascular Disease (SPC).

Oversees and manages the pharmacy concierge team (outreach team). Incorporates new strategies to improve member outreach affecting STARs-related medication adherence measures.

Responsible for managing member, provider, and vendor outreach that impacts Part D quality initiatives using data entry to track outcomes of all communications and outreach. Collaborates with healthcare professionals of all levels involving patient medications.

Direct member outreach to address adherence gaps by identifying / addressing barriers.

Phone and fax for Provider office outreach to obtain confirmation of prescription and other required data.

Provides education for the PCP offices and staff for the Part D STAR and HEDIS measures.

POSITION REQUIREMENTS : EDUCATION / EXPERIENCE :

High school graduate or equivalent.

Spanish speaking is preferred but not required.

1+ years of experience in the healthcare industry.

Medicare Part D experience preferred.

Retail pharmacy experience is an advantage.

LICENSURE / CERTIFICATE / TRAINING :

Current and clear PTCB certification through the designated PTCB training program and / or state-required certification / registration.