Duties & Responsibilities:

• Establishes positive, collaborative, and consultative relationships with partner hospitals, community network providers, population health teams and community pharmacies.

• Partners with community pharmacies to communicate medication adherence strategies, pharmacy partnership program performance and Healthfirst pharmacy updates

• Serves as the engagement liaison between Healthfirst, network providers and pharmacies to triage pharmacy benefits, member grievances or pharmacy related inquiries.

• Acts as a resource to provide pharmacy education, best practices, and training related to pharmacy partnership program.

• Performs review of medication lists to understand and eliminate barriers to medication therapy while serving as the member's Pharmacy Navigator in order to achieve the following:

• Proper Medication Adherence

• Minimize any gaps in therapy

• Prevention of medication related adverse events through collaboration with a pharmacist

• Provides weekly status reports detailing outreach efforts to the reporting on-site manager and Healthfirst manager

• Partners with the pharmacists on the team and other members of the healthcare team to communicate program related IT issues and grievances

• Facilitates member access to medication(s) by:

• Contacting pharmacies to obtain medications refills

• Contacting members providers to issue new prescriptions and set up appointments when necessary

• Facilitating access to medications for members experiencing financial issues.

• Working with the members pharmacy to align refills to help members reduce frequency of pharmacy visits.

• Documenting the member outreach activities and communicating information to other providers.

• May coordinate and integrate an intervention within the broader healthcare management services being provided to the patient.

• Participates in monthly or quarterly meetings as required, including material preparation and updates.

• Additional duties as necessary

Minimum Qualifications:

• Meets at least one of the following:

• Nationally certified Pharmacy Technician in good standing (i.e., PTCB, NHA) or registered or licensed Pharmacy Technician in good standing

• High School Diploma or GED from an accredited institution

• Work experience requiring written and verbal communication that is clear, concise, grammatically correct, and professional

• Experience communicating with patients, providers, and pharmacists on medication and medication related issues

• Knowledge of MS Office applications (Word, Excel, PPT, Outlook)

• Experience in health care or managed care. This can include work experience and/or education.

• Ability to travel throughout New York City and Long Island

Preferred Qualifications:

• Experience creating and updating spreadsheets

• Experience with a health plan's quality improvement program

Compliance & Regulatory Responsibilities: Noted above

License/Certification:

• Meets at least one of the following:

• Nationally certified Pharmacy Technician in good standing (i.e., PTCB, NHA) or registered or licensed Pharmacy Technician in good standing

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.