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Under the supervision of a pharmacist, coordinates the execution and tracking of pharmacy initiatives related to improving overall plan and beneficiary quality. This includes prescriber and member communication initiatives and support of state and federal contracts regarding drug utilization review.
Coordinate execution of provider and member outreach initiatives (ie. fax blasts, mailings, telephonic outreach)
Perform quality assurance checks on data sets utilized for initiatives
Monitor necessary data file transfers to vendors and track outcomes received for completion of metric driven dashboards
Utilize various pharmacy systems to research members, place POS edits or perform safety edit checks to ensure beneficiary access to appropriate treatment
Assist with maintenance of policies and procedures, training materials, work flow/step action plans and standard operating procedures
Aid in the preparation of agendas, minutes and slides for departmental meetings
Communicate with network pharmacies, prescribers, and beneficiaries regarding initiatives, and appropriately triaging to pharmacists for escalated issues
Performs special projects as assigned
Required - High School Diploma or GED
Required - 3 years of experience as a Pharmacy Technician
Preferred - Experience pulling data and creating reports
Required - Proficient using Microsoft Word, Excel, PowerPoint and Outlook