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Description:

• The Outreach Pharmacy Specialist is responsible for outbound calling to members, providers and pharmacies in an effort to improve HEDIS metrics. The project specialists will be responsible for calling members with gaps for Medication Adherence to improve HEDIS. Other types of outbound calls to members, providers, and pharmacies may be assigned. This position may include updating, maintaining and monitoring pharmacy information distributed to external and internal customers. This includes pharmacy information and pharmacy tools placed on the company web site and the processes involved to have information placed on the company web site.

o Conduct outbound educational telephone calls regarding medication adherence to members, prescribers and pharmacists as directed.

o Encourage and motivate members to become compliant by refilling their prescriptions and/or coordinating the needed appointments with provider offices

o Receive provider and member pharmacy problems/complaints and escalate to appropriate management staff.

o Document all pertinent data, complete daily tracking, reporting/activity as requested in CareCommunication Management System (CCMS).

o Perform data analysis as assigned.

o Maintain proper workflow while meeting departmental goals for timeliness.

o Fax and/or mail provider and member communications as directed.

o Respond to inquiries from providers, members, family, and internal staff.

o Participate in meetings/committees as requested.

o Organize and prioritize multiple tasks and deadlines; work under moderate/minimal supervision.

o Responsible for timely review of updates to drug information and drugs lists.

o Complete various projects thoroughly, accurately and timely as assigned by management.

o Implement processes involved in communication distribution to members and providers.

o Lend clerical support to other departmental members as requested.

o Other duties as directed by management to accomplish department goals.

Skills & Qualifications:

• Candidates are required to be local in TN - will not consider candidates from outside states

• High School diploma or equivalent experience

• Minimum 2 years of experience in a retail pharmacy and strong clinical drug therapy knowledge.

• Call Center experience preferred.

• HEDIS/STARs experience preferred.

• Knowledge in pharmacy/medical terms.

Skills/Certifications:

• National Certification as pharmacy technician (PTCB) required.

Experience Level:

• 2 years

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent

• Maintaining an inclusive environment through persistent self-reflection

• Building a culture of care, engagement, and recognition with clear outcomes

• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.