Provide review of MTM service components, conduct claim reviews, offer feedback on interventions, and identify quality improvement opportunities.
JOB SUMMARY
Student pharmacist/intern using clinical skills to provide review of select MTM service components including claim documentation requirements and quality assurance processes.
ESSENTIAL DUTIES & RESPONSIBILITIES
- Complete monthly claim review using clinical judgment and established policies and procedures by deadlines as assigned
- Support the Outcomes Network through systematic and consistent feedback and coaching regarding clinical appropriateness of interventions
- Identify quality improvement opportunities through ongoing evaluation of the efficiency and effectiveness of the quality assurance program
- Other duties as assigned
KNOWLEDGE & REQUIREMENTS
- Ability to meet multiple deadlines
- Strong written and verbal communication skills
- Strong quantitative, qualitative, and analytical skills including technical proficiency related to PC and basic office software (such as Word and Excel)
- Must be able to work autonomously (with minimal direction) while also being part of an integrated team
- Ability to communicate across all levels of an organization, always demonstrating professionalism and good judgment
EDUCATION & EXPERIENCE REQUIREMENTS
- Current P2 student
- Community Pharmacy experience preferred
- Must be able to work up to 20 hours per week
- Strong pharmacy related clinical knowledge
PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- Frequent sitting in stationary position at a desk
- Occasional standing, walking, stooping, kneeling, squatting, and climbing stairs
- Occasional twisting of body
- Occasional reaching by extending hands and arms in any direction
- Occasional lifting, pulling, or pushing
#LI-REMOTE
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