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Pharmacy Quality Specialist


This is a Contract position in Tulsa, OK posted May 25, 2019.

GENERAL SUMMARY The Pharmacy Quality Specialist (PQS) performs a wide variety of tasks to be compliant with quality initiatives and other requirements to ensure patient safety and improved member care.

This position will ensure the effective management of medication adherence, including member status monitoring, call tracking, and member/provider outreach.

This position requires excellent communication, diplomacy, strong computer skills and the ability to manage complex working relationships.

PRINCIPAL DUTIES & RESPONSIBILITIES Support and maintain outreach initiatives and other quality improvement strategies; make recommendations for change as needed Strong working knowledge of STARS measures set by CMS performance standards Work with Manager of Pharmacy Outreach to assist with implementing performance measure interventions within the clinical setting to improve quality care provided to members in an efficient and effective way Answer questions and provide clear instructions to enhance patient compliance and support quality metrics Maintain and review prescription records for purposes of identifying, confirming, and/or documenting referrals and results Adhere to company and department policies and procedures Maintain appropriate certification and/or license as required for this position Other duties as assigned KNOWLEDGE, SKILLS & ABILITIES Certified Pharmacy Technician with a minimum of 2 years of experience with a health plan, Quality Department or in a clinical setting Ability to communicate and manage complex working relationships Strong organizational, verbal, time management, and telephone skills Computer literate and familiar with Microsoft applications (Word, Excel) Basic electronic health record knowledge and ability to quickly learn new software Strong working knowledge of quality performance measures and clinical health care Must have valid Oklahoma drivers license and be able to drive a car Can work independently and with a group Transfer customer calls to appropriate staff Self-motivated Confident and tolerant while working with difficult customers Strong problem solving skills PHYSICAL DEMANDS Prolonged sitting at a desk using telephone and computer.

Frequent and repetitive keyboard use.

Work involves standing and walking for brief periods of time.

Work requires normal vision and hearing as might be required in typical conversation use and to operate a computer.

Must be able to read, write, and speak English.

May need to lift up to 25 pounds.

Travel may be required, some overnight possible.

WORKING RELATIONSHIPS Reports directly to Manager of Pharmacy Outreach and will work closely with the Pharmacy Department Medicare staff.

Interacts professionally with all levels of employees, management staff and physicians including medical director(s).

Also interacts with delegates (first tier, downstream, and related entities, providers, vendors, agents, accrediting bodies, and regulatory agency personnel).