Description
Current Employees Click HERE
Current employees can apply directly through the Internal Careers Center online for Prospect Medical job openings in California. For a streamlined application process, all you need is your four-digit employee ID number and a digital copy of your résumé handy before you apply.
Note: Internal applicants not eligible for any Sign On Bonus.
Requisition #: 25471 Pharmacy Quality Coordinator - Full Time, Days (Remote)We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.
The Pharmacy Quality Coordinator provides support on CMS/HEDIS initiatives and processes to close care gaps for drug-related measures through member and prescriber outreach efforts.
Job Responsibilities/Duties- Make outreach calls to members to address care gap issues. For example, identify root causes for medication adherence issues and provide education to help resolve the problems. Help members be set up for mail order prescriptions and handle follow-up mailings. Confirm members' current medications and identify discrepancies.
- Provide administrative support for Performance Programs and other pertinent departments for collaboration on STARIHEDIS/P4P initiatives. Maintain the internal tracker with dates and activities summarized and provide regular reporting on patients who are /are not at target goals based on CMS STAR metrics.
- Communicate with physician offices to clarify prescription orders, follow up on pharmacist recommendations on medications or fax communications, and call in appropriate prescriptions to dispensing pharmacies.
Minimum Education: High School Diploma required. Active pharmacy technician license required (PTCB/national pharmacy technician license preferred).
Minimum Experience: Prior work experience in pharmacy setting (i.e. retail pharmacy) or managed care setting is preferred. Bilingual in Spanish preferred. Working knowledge of MS Word and Excel. Excellent verbal and written communication skills. Good negotiation skills. Strong organization skills and ability to prioritize daily tasks. Ability to maintain member confidentiality and protect operations by keeping confidential information in compliance with HIPAA requirements.
Req. Certification/Licensure: None.
Employee Value PropositionProspect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals, benefit eligible positions will receive:
- Company 401K
- Medical, dental, vision insurance
- Paid time-off
- Life insurance
To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!
We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.
EEOC is the Law: https://www.eeoc.gov/
Position Summary
Employment Status: Regular Full-time
Shift: Days
Work Schedule: Monday - Friday
Address: California - Remote
Reasonably expect to pay:
Min: $$20.41 Max: $$26.19
Union Pay Info:
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