Quality Improvement - STARS Medication Adherence Specialist 195-1023

Community Care • Tulsa, OK

23h • Onsite

About The Position

The Stars Medication Adherence Specialist implements, tracks and supports new and existing healthcare quality improvement initiatives and education programs. This role ensures the maintenance of programs for providers and members in accordance with prescribed quality standards. It involves conducting data collection, tracking, and monitoring for key performance measurement activities at the provider and member level. The specialist provides ongoing practice support, sustains partnerships, and improves the understanding and sensitivity to the unique needs of the CommunityCare population. This role dedicates 100% of its time to quality program activities.

Requirements

• Knowledge of medication adherence practices.
• Familiarity with State and federal regulations governing healthcare.
• Understanding of CMS 5 Star program and requirements.
• Proficient in Microsoft Excel.
• Successful completion of Health Care Sanctions background check.
• Excellent verbal and written communication skills.
• Ability to work independently under stringent deadlines.
• Certification as a Pharmacy Technician with a minimum 12 months of related work experience OR A minimum of 2 years of work experience in a medication dispensing/pharmacy setting or call center required.
• High School graduate or GED equivalent.

Nice To Haves

• Medicare Advantage and /or medical practice experience preferred.
• College degree preferred or equivalent combination of education and work experience.

Responsibilities

• Makes outbound calls to members and healthcare professionals regarding patient medications, adherence, and barrier removal.
• Conducts chart research and analysis to identify barriers to prescription regimens.
• Interacts with healthcare professionals of all levels involving member medications.
• Calls the pharmacy or provider to assist member with medication refills, medication synchronization, or 90-day supply requests.
• Provides feedback and/or solutions on how to improve the medication adherence member experience.
• Performs other job-related duties as assigned.

What This Job Offers

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