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Pharmacy Quality Care Coordinator in Orange at Prospect Medical Systems

Date Posted: 10/10/2018

Job Snapshot

Job Description



Quality Care Coordinator

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

Provide support on CMS/HEDIS initiatives and processes to close care gaps for drug-related measures through member and prescriber outreach efforts.



Job Responsibilities/Duties

  • Make outreach calls to members to address care gap issues.  For example, identify root causes for medication adherence issues and provide education to help resolve the problems. 
  • Help members be set up for mail order prescriptions and handle follow-up mailings. 
  • Confirm members’ current medications and identify discrepancies.
  • Provide administrative support for Performance Programs and other pertinent departments for collaboration on STAR/HEDIS/P4P initiatives.
  • Maintain the internal tracker with dates and activities summarized and provide regular reporting on patients who are /are not at target goals based on CMS STAR metrics.
  • Communicate with physician offices to clarify prescription orders, follow up on pharmacist recommendations on medications or fax communications, and call in appropriate prescriptions to dispensing pharmacies.   


Qualifications

Minimum Education: High School Diploma or General Education Development (GED) required. 

Minimum Experience: Prior work experience in pharmacy setting  (i.e. retail pharmacy)  or managed care setting is preferred.

Req. Certification/Licensure: Active pharmacy technician license required (PTCB/national pharmacy technician license preferred).



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance


How to Apply

To apply for this role, or search our other openings, please visit   http://pmh.com/careers/  and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm



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