Pharmacy Care Coordinator - Clinical Pharmacy Operations

Devoted Health • Waltham, SC

4d • $23 - $30

About The Position

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. Devoted's clinical pharmacy team aims to support improved therapeutics for Devoted members by conducting medication reviews, providing virtual pharmacist-led or clinician-led care via telemedicine to close therapy gaps, and 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, driving Devoted's quality and Medicare Stars performance across multiple programs. Pharmacy Care Coordinators (PCCs) ensure recommendations reach the outside provider, follow up with pharmacies on claims issues, pick-up confirmations, or discontinuations, and keep the member informed of any changes along the way. As a PCC, you will partner with our Clinical Pharmacy and Operations teams on outreach, coordination, and follow-up to provide best in class care to our members, as part of a mission-driven, team-oriented, joyful culture.

Requirements

• At least 3 years of work experience in health care or retail pharmacy
• Active National PTCB Certification
• Comfortable making a high volume of outbound calls to members, providers, and pharmacies
• Comfortable managing daily responsibilities and tasks independently
• Ability to shift between tasks, projects, and priorities frequently

Nice To Haves

• Highly organized and detail-driven
• Comfortable learning new software and adapting as tools and workflows evolve
• Adaptable and flexible, with a willingness to take on new or shifting tasks positively
• A true team player who brings new ideas to the table, works through solutions with others, and lifts up their teammates
• Comfortable speaking with physicians, pharmacies, and patients, with a genuine passion for our members
• Thrives in a fast-paced and dynamic environment
• A transparent communicator about your work, what's going well, and what's not, with a thoughtful eye for improving processes

Responsibilities

• Supports clinical outreach campaigns by making outbound calls and utilizing portal chat to members to schedule appointments with the pharmacist team to address clinical gaps or medication concerns
• Supports cost of care efforts by reaching out to providers and members to offer lower cost alternative medication options
• Manages an assigned caseload which may require provider, pharmacy, and/or member follow-up to address medication recommendations, concerns, or questions
• Independently oversees assigned cases and outreaches with timely follow-up, clear next steps, and thorough documentation
• Helps members navigate their Devoted Health benefits
• Participates in sprints, pilots, and special projects as they launch
• Collaborates with the broader pharmacy team to support shared goals and coverage needs
• Assists with training and shadowing when new team members join the team
• Participates in team and pharmacy department activities and responsibilities

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed