About The Position

A bit about this role: Devoted Medical is building clinical programs to manage and coordinate care in a manner consistent with Devoted’s values of treating every member like family. Medication plays a crucial role in helping people manage chronic conditions, but in many cases effective medication management is limited by barriers to access, uncoordinated prescribing, or a failure to use the most effective evidence-based medication therapies. For example, despite a mountain of evidence, less than 1 in 10 people with congestive heart failure (CHF) are prescribed evidence-based medications proven to save lives and prevent hospitalizations. Devoted’s clinical pharmacy team aims to support improved therapeutics for Devoted members. It supports this work in three ways: 1. Conducting medication reviews (via direct member engagement and via pharmacist consult support for other clinicians) 2. Virtual pharmacist-led care via telemedicine to close therapy gaps 3. Coordinating care for changes in therapy by counseling members and engaging prescribers and pharmacies This work is done in service of a number of goals. The clinical pharmacy team drives Devoted’s quality and Medicare Stars performance on medication adherence, blood pressure control, statin use, and other quality measures, and also plays a critical role in care teams for other clinical programs (such as our Intensive Home Care program, our Diabetes and CHF programs, and our Transition of Care program). Pharmacist consults help our clinical teams reduce polypharmacy issues and improve evidence-driven medical therapy.

Requirements

  • Nationally Certified Pharmacy Technician (CPhT) in good standing with at least three years of work experience in this field
  • Experience with Medicare Part D operations (e.g. pharmacy help desk, utilization management, formulary management)
  • Experience with pharmacy-related quality assurance (QA) work is strongly preferred (examples of pharmacy-related QA include performing medication reconciliation following hospital discharge and coordinating prescription refill programs)
  • Bilingual in Spanish strongly preferred

Nice To Haves

  • Highly organized and detail-driven
  • Adaptable and flexible, willing to roll your sleeves up and shift prioritie
  • Collaborative and enjoys working as part of a team
  • Comfortable in speaking to physicians, pharmacies, and patients - having a passion for people
  • You thrive in a fast-paced, dynamic environment and are a self-starter
  • You are a transparent communicator about your work, what’s going well, and what's not; and thoughtful about adapting and finding new and innovative ways for improving processes

Responsibilities

  • Assists with coordination and collaboration with the broader clinical team for additional support and services
  • Establishes and maintains relationships with providers, medical directors, and network contacts for escalation of issues
  • Engages with providers to coordinate appropriate testing, appointment scheduling, and prescription refills and renewals.
  • Assists with transportation as needed
  • Provides appointment and medication refill reminders
  • Provide counseling and follow-up on medications and appointments
  • Assists with pharmacy related questions and concerns and provides triage to the appropriate escalation pathway
  • Assists members with enrolling in special programs, such as medication co-pay assistance programs
  • Assists with special projects as needed/required

Benefits

  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
  • Parental leave program
  • 401K program
  • And more....

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

1,001-5,000 employees

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