Duties Responsibilities:

Performs review of medication lists to understand and eliminate barriers to medication therapy while serving as the member's Pharmacy Navigator to achieve proper medication adherence, minimize gaps in therapy, and prevent medication related adverse events

Facilitates member access to medication(s) by obtaining refills, facilitating new prescriptions, setting up appointments, facilitating access to medications for members experiencing financial issues, aligning refills to reduce frequency of pharmacy visits, documenting the care delivered, and communicating information to other providers

Partners with Healthfirst Pharmacists and other internal and external partners to communicate a medication treatment plan and/or coordinate and integrate an MTM intervention within the broader healthcare management services

Partners with community pharmacies to monitor and communicate member medication adherence

Performs patient health assessments to collect information regarding patient medication profile (prescriptions, OTC medications, and/or homeopathic/herbal therapy) to identify potential barriers which could lead to poor medication adherence including medication and/or patient-related factors, or access to care

Handles member and provider communications telephonically (in person may be required in certain situations)

Additional duties as necessary

Minimum Qualifications:

High School Diploma or GED from an accredited institution

Work experience requiring written and verbal communication that is clear, concise, grammatically correct, and professional

Experience communicating with patients, providers, and pharmacists on medication and medication related issues

Either nationally certified Pharmacy Technician in good standing (i.e., PTCB, NHA) or registered or licensed Pharmacy Technician in good standing

Preferred Qualifications:

Bilingual skills

Medication Therapy Management Certificate

Compliance Regulatory Responsibilities: Partner with community pharmacies to communicate member medication adherence

License/Certification: Nationally Certified Pharmacy Technician in good standing (i.e., PTCB, NHA) or registered or licensed Pharmacy Technician in good standing

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.