Pharm Outreach Specialist

WellBe Introduction The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly‑chronic, elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to care. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. Care is provided throughout the entire continuum of care – from chronic care and urgent care in the home, to hospital, to skilled nursing facility, to assisted living, to palliative care, to end of life care. WellBe’s physician/advanced practicing clinician‑led geriatric care teams partner with the patient’s primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum. General Summary The pharmacy outreach specialist plays an integral role by assisting patients in adhering to their medication regiment as well as by coordinating with pharmacies in distributing medication to patients. This position on the central quality initiatives team will act as a liaison between patient, provider, and pharmacy to promote medication adherence and improve pharmacy quality measures, specifically the Part D STARS measures proportion of days covered (PDC). The pharmacy outreach specialist will conduct patient outreach to identify and address medication adherence barriers and serve as a medication adherence subject matter expert for the organization. This important role will contribute to increasing overall quality ratings by ensuring patients refill and take their medication on time and as directed. The pharmacy outreach specialist is responsible for pursuing new medications and/or refills for our patients. Responsibilities Assist patients to adhere to their medication regiment and assist clinicians and pharmacies in distributing medication to patients. Conduct telephonic outreach to identify and address medication adherence barriers. Pursue new medications and/or refills by calling doctors, faxes, and patients. Work in a call oriented, repetitive, fast‑paced environment. Provide one‑call resolution on all calls. Keep a high level of professionalism when speaking with patients, providers, and other employees. Maintain open lines of communication with team members to address potential issues. Record member information in accordance with policies and procedures. Educate patients on medication importance, formulary, medication resources or assistance programs. Encourage members to participate in Care Management programs by providing information about the program, outlining program features/value and explaining available services. Co‑ordinate medication refills with retail pharmacies, primary doctors, or other clinicians. Confirm patient demographic information for mail‑order prescriptions. Transfer prescriptions as requested by patients or pharmacies. Triage calls/voicemails and resolve prescription issues, as appropriate. Direct member inquiries to appropriate clinical staff. Generate reports related to outreach and other ad‑hoc reports. Adhere to HIPAA requirements. Qualifications High school diploma or equivalent. Minimum of 3 years of customer service or outreach experience demonstrating ability to influence customers/members, or any combination of education and experience providing an equivalent background. Pharmacy Tech Certification or training required. Required Skills and Abilities Easily navigate through multiple computer systems. Comfortable on the phone to engage with patients, pharmacies, doctor offices, insurance companies, etc. Call center experience. Strong proficiency in MS Office (e.g. Excel) and Google documents/spreadsheets. Ability to synthesize and analyze large amounts of data to make sound business decisions. Strong oral, written, and interpersonal communication skills, problem‑solving and facilitation skills. Excellent detail orientation and organizational skills. Strong orientation towards patient‑centric care creating an unmatched patient experience. Pay and Work Environment Pay Range: $43 k to $53 k annually. Work Environment: 4 days in office, 1 day remote. Equal Employment Opportunity WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status. #J-18808-Ljbffr WellBe Senior Medical