Pharmacy Member Outreach Rep
UHS
Summary
Prominence Health seeks a motivated and patient case-focused individual to join our Member Outreach Pharmacy Team. The Member Outreach Pharmacy Representative is the liaison between Prominence Health Plan, its members, and contracted providers.
Job description
The main focus of this position is contacting Prominence Health Plan members by phone to inform and educate them on the health insurance offerings, products, or services, as well as respond to inquiries and assist with quality improvement.
In addition, this individual will serve as a lead to resolve drug-related care gaps during telephonic member outreaches. This individual also facilitates the development of the outreach program and serves as the primary contact, offering education, technical assistance, and problem-solving as necessary.
By performing outreach activities, the Member Outreach Specialist will identify quality insufficiencies and consult with the department and company's leaders on quality improvement initiatives and outcomes.
Requirements
- High School diploma or equivalent required
- Current and valid state licensure as a pharmacy technician is preferred
- Current PTCB license preferred
- 3+ years' experience in making outbound calls to members and or patients preferred
- 3+ years' in retail/community pharmacy preferred
- Exceptional customer service skills, serving patient needs over the phone
- Understanding of health plan departments and functional areas for problem resolution
- Understanding of current state laws pertaining to pharmacy dispensing
- Comfortable collecting and tracking performance metrics and managing the team to certain performance expectations
- Strong analytical skills
- Attention to detail
- High level of energy
- Good computer skills (Excel, Adobe, Word, Outlook, etc.)
- Ability to effectively communicate in English, both verbally and in writing
- Written and oral fluency in Spanish is preferred
- Utilizing sound drug knowledge to assist patient questions over the phone effectively
- Knowledge of medical terminology
- A positive attitude is a must
- Proficient in Microsoft Office skills
- Enjoys working in both individual and team settings
- Problem solver – enjoys problem-solving
- Self-starter, resourceful, and able to execute projects in a fluid and fast-paced environment
- Good communication and relationship skills
- Ability to utilize technology and work within multiple software programs
Benefits
- Loan Forgiveness Program
- Competitive Compensation
- Paid Time Off
- Medical, Dental & Vision
- Prescription Drug Plans
- 401(k) Matching
- Discounted Stock Plan
- Student Loan Refinancing
- Career Development
Company overview
Universal Health Services, Inc. (UHS) is one of the nation's largest and most respected providers of hospital and healthcare services, operating as a Fortune 300 corporation headquartered in King of Prussia, Pennsylvania. Founded in 1979, UHS has grown into a major healthcare enterprise with approximately 99,000 employees and annual revenues exceeding $14 billion. The company operates through its subsidiaries, managing 29 acute care hospitals, 331 behavioral health facilities, and 60 outpatient and other facilities across 39 U.S. states, Washington D.C., Puerto Rico, and the United Kingdom. UHS provides comprehensive healthcare services including acute care, behavioral health treatment, cancer centers, and ambulatory surgical centers. The company's strategy focuses on building or acquiring high-quality hospitals in rapidly growing markets and investing in advanced medical equipment and skilled personnel to become the leading healthcare provider in each community it serves. UHS is publicly traded on the New York Stock Exchange (NYSE: UHS) and has established a strong reputation for delivering compassionate, high-quality care while maintaining financial stability and operational excellence.