What are the responsibilities and job description for the Clinical Pharmacy Program Specialist/CPT preferred-REMOTE position at Prime Therapeutics LLC?
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Clinical Pharmacy Program Specialist / CPT preferred-REMOTE Job Description
This position is responsible for the management of programs. It requires extensive knowledge of medications, disease states, pharmacy sig codes, and extensive knowledge of quality, pharmacy, and medical services. Additional responsibilities include communications with patients, pharmacists, interns, clients, and vendors. Responsible for ensuring all client and quality targets are being met.
Responsibilities
- Maintain required documentation for all activities and medication recommendations.
- Through collaboration with IT and analytics departments, develop and track the appropriate metrics to monitor the quality, and effectiveness of programs.
- Develop and enhance current reporting metrics to provide continuous quality improvement efforts.
- Generate outcomes reporting using outreach activity reports and pharmacy / medical data for direct client deliverables.
- Collaboratively work with clients, providers, and pharmacists to ensure optimal pharmaceutical care.
- Maintains HIPAA standards and confidentiality of protected health information.
- Generate and enhance clinical outreach materials to maximize program results.
- Assist and participate in meeting company and department goals such as quality improvement activities.
- Ensure the team is compliant with CMS requirements, HIPAA, and Fraud Waste and Abuse.
- Audit the program processes to ensure all documentation is appropriate and CMS compliant.
- Communicate effectively with the Clinical Pharmacy Team to address any ongoing issues or problems.
- Coordinate with multiple vendors to drive results in a timely manner.
- Utilize medical claims expertise to identify new areas of opportunity for specialty clinical programs.
- Generate detailed program outcomes data by analyzing pharmacy and medical data.
- Other duties as assigned.
Education & Experience
A Combination of Education and Work Experience May Be Considered.
2 years
Healthcare
Must be eligible to work in the United States without the need for work visa or residency sponsorship.
Additional Qualifications
Preferred Qualifications
Physical Demands
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $59,000.00 - $94,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.
Salary : $59,000 - $94,000
