Pharmacy STARS Specialist (52645)

GLOBALHEALTH HOLDINGS LLC • Oklahoma City, OK

11d • Remote

About The Position

Performs tasks associated with quality initiatives to improve member care. Ensures the effective management of medication adherence, including data entry, member status monitoring, call tracking, and telephonic member/provider outreach. Supports and maintains outreach initiatives with members and providers. Effectively educates Medicare members to enhance patient compliance and support quality metrics. Performs accurate data entry in the outreach tracking system. Reviews and maintains prescription records to identify and confirm medication adherence. Effectively educates providers on quality metric guidelines to enhance patient compliance on an as needed basis. Maintains a strong working knowledge of STARS measures set by CMS performance standards. Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy. Performs other duties as assigned.

Requirements

• High School diploma or equivalent required
• Current Certified Pharmacy Technician or one year of experience with a health plan, medication adherence or within a quality department or pharmacy.
• Computer literate and familiar with Microsoft applications (Word, Excel)
• Basic electronic health record knowledge and ability to quickly learn new software
• Detailed knowledge of quality performance measures and clinical health care
• Strong organizational and time management skills
• Strong verbal and written communication skills

Responsibilities

• Supports and maintains outreach initiatives with members and providers.
• Effectively educates Medicare members to enhance patient compliance and support quality metrics.
• Performs accurate data entry in the outreach tracking system.
• Reviews and maintains prescription records to identify and confirm medication adherence.
• Effectively educates providers on quality metric guidelines to enhance patient compliance on an as needed basis.
• Maintains a strong working knowledge of STARS measures set by CMS performance standards.
• Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED