Member Advocate - Pharmacy

The Health Plan of West Virginia Inc • Wheeling, WV

101d

About The Position

Under the general direction of the Pharmacy Operations Manager, the Member Advocate is responsible for coordinating copay assistance for members and directing members on how to apply for low-income subsidy for Medicare Part D.

Requirements

• High School Diploma
• Proficiency in Microsoft Excel, Microsoft Word and internet search engines.
• Strong verbal, written, analytical and interpersonal skills.
• Ability to work effectively independently.
• Strong organizational, time management and multi-tasking abilities.

Nice To Haves

• Pharmacy Technician Certification.
• Medication knowledge or previous MCO experience.

Responsibilities

• Complete timely and accurate documentation of contacts and outcomes in referral platform.
• Performs research to identify appropriate community resources and maintains information of available resources to meet various member needs.
• Directs members on how to apply for low-income subsidy for Medicare Part D.
• Prioritizes assignments appropriately and maintains flexibility as new priorities arise.
• Promotes communications, both internally and externally, to enhance effectiveness or pharmacy services for membership.
• Strives to improve quality in all areas of responsibility and cooperate with all departments to improve quality throughout The Health Plan.
• Ensures that all financial assistance applications are processed timely and accurately.
• Provide excellent customer service to members and providers.
• Assist pharmacist with medication reconciliation if needed.
• Back-up for phone queues as needed.
• Work DSNP IR referrals for diabetic and nebulizer testing supplies.
• Work any pharmacy mail marked 'Return to Sender.'

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 101-250 employees