Please email hr_business_partners@bcbsri.org if you are a candidate seeking a reasonable accommodation for the application and/or interview process.
Location: Hybrid
Compensation: $23.46 - $29.27 Jump into the new world of healthinsurance: At Blue Cross & Blue Shield of Rhode Island (BCBSRI), our business is healthcare. But our focus is on improving lives. Be part of a team that is large enough to make a difference but small enough to be innovative. Work in a rapidly changing field. Take a chance to be creative. Move outside the status quo. Shape new ideas with the power of a national brand behind you.
Join others who know diversity is strength: We appreciate and celebrate everything that makes us unique: age, national origin, citizenship status, perspectives, experiences, physical or mental disability, military status, race, ethnicity, religion, gender, sexual orientation, gender identity and/or expression. Our diversity strengthens us as an organization and helps us better serve an increasingly diverse Rhode Island population.
Why this job matters: Work in collaboration with the pharmacists to create a positive member experience, assisting the pharmacist by performing duties that do not require a pharmacist’s professional judgement.
What you will do:
Perform telephonic outreach to MTM eligible members educating them on the value of the MTM benefit and scheduling a comprehensive medication review with a local BCBSRI pharmacist.
Conduct medication reconciliation to ensure the pharmacist has an accurate and up to date medication list for review.
Verify the provider and pharmacy information for accuracy.
Follow up with members at the direction of the pharmacist for disease state management and adherence monitoring.
Triage internal requests to perform comprehensive medication reviews to available pharmacists.
Respond to inquiries regarding Medication Therapy Management program.
Facilitate correspondence between BCBSRI pharmacists and providers.
Perform research on members who were unable to be contacted due to inaccurate contact information.
Ensure that members who do not wish to participate in the program are properly documented and dis-enrolled.
Participate in member education seminars, educating members on the importance of having an annual comprehensive medication review.
Perform other duties as assigned.
What you need to succeed:
High School Diploma, or an equivalent combination of education and experience.
Licensed as a Certified Pharmacy Technician in the State of Rhode Island.
Two to four years of experience as a pharmacy technician or related healthcare field.
Must be detail oriented and able to accurately document all activities performed
Excellent communication and customer service skills
Proficient in Microsoft Word, Excel
Able to multi-task in a fast paced environment
Must be able to work independently
Professionally interact with external healthcare professionals and BCBSRI internal staff
Must be able to travel within State of Rhode Island
Effectively communicate the importance of a comprehensive medication review to members
Extras:
Experience working with OutcomesMTM platform
Experience with Medicare Part D MTM program
Ability to speak a second language with command of healthcare terminology, most notably Spanish or Portuguese
Location: BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:
In-office: onsite 5 days per week
Hybrid: onsite 2-4 days per week
Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), diversity and inclusion are central to our core values and strengthen our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity, affirmative action employer. We provide equal opportunities without regard to race, color, religion, gender, age, national origin, disability, veteran status, sexual orientation, genetic information and gender identity or expression.
The law requires an employer to post notices describing the Federal laws prohibiting job discrimination based on race, color, sex, national origin, religion, age, equal pay, disability, veteran status, sexual orientation, and genetic information and gender identity or expression. Please visit https://www.eeoc.gov/employers/eeo-law-poster to view the "EEO is the Law" poster.
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Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Insurance
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