12 month Contract role with potential to go permanent
Fully remote for now possible but possibility to turn Hybrid in office 2 days a week in Durham come January 2027 MUST live within a commutable distance to Durham
M-F 9-5 EST hours, can live in other time zones but work those EST hours
*Call Center, PBM, or Retail experience
*Must have an understanding of Medicare STARS and Metrics
*Must be comfortable on the phones interacting with members
*Must have experience working remotely
- Make outreach to Medicare members to assist in removing barriers to medication adherence.
- Partner with pharmacies and providers to close adherence gaps when the Medicare member is unengaged or when the Medicare member requires assistance.
- Contact providers to close SUPD (Statin Use in Persons with Diabetes) gaps.
- Complete Comprehensive Medication Reviews (CMRs) with eligible Medicare members to give the member a better understanding of their medications and health.
- Send interventions to providers through fax or the CMR platform to alert the provider of potential drug interactions and adverse reactions, dose changes, adherence issues, etc.
- Provide counseling to Medicare members regarding medications.
- Provide Medicare members with information regarding their pharmacy benefits (ie. formulary, preferred pharmacy, supplemental benefits, etc.)
- Provide clinical guidance and support to the Pharmacy Quality Specialists
Hiring Requirements
• PharmD
• 3+ years of experience in related field.
• North Carolina pharmacy license.
