Vacancy caducado!
POSITION SUMMARYProvide operational support for multiple programs within the Express Scripts clinical product portfolio, including but not limited to ScreenRx, Advanced Opioid Management, and several other programs that engage patients, providers, caregivers and clients to promote better health outcomes. In doing so, the Patient Advisor will need to be fluent about the intricacies of each program and be able to document activity in company databases.ESSENTIAL FUNCTIONS
Responsible for validating potential clinical and/or financial opportunities using scripted questions.
Forward all potential clinical opportunities to a pharmacist to address.
Engage members to educate them about more effective ways to manage cost and to take better advantage of their prescription benefit.
Handle refill requests, launch faxes, and may also leverage digital platforms (emails, texting) to communicate with patients as appropriate.
Using pharmacy and benefit plan knowledge, will be responsible for managing a broad spectrum of member inquiries related to plan design, order status, specific account information, and other matters in accordance with company standard operating procedures, work instructions, and other established guidelines.
Enters complete and accurate records into the appropriate systems for all contacts.
Work collaboratively with other Clinical Programs employees to ensure that best practices are shared.
Participate on special projects or other duties as assigned.
Have the ability to speak with members regarding clinical or financial alerts while maintaining productivity standards and quality metrics.
Work independently to resolve any patient inquiries in a timely and efficient manner. Have the ability to identify opportunities for pharmacist counseling and triage as appropriate.
Demonstrate ability to manage difficult situations and escalate when necessary.
Have the ability to adapt to change and meet the changing demands of a dynamic work environment.
QUALIFICATIONS
High School diploma or GED.
2-3 years in a clinical setting, call center, or customer service required.
Previous pharmacy experience preferred.
PTCB certification preferred but not required.
General knowledge of Microsoft Outlook and Internet with the ability to navigate through multiple computer systems simultaneously.
Good verbal and written communication skills.
Basic math skills.
Strong attention to detail.
Good organizational ability.
Ability to work in fast-paced, production environment.
Willingness to work a flexible schedule based on business needs.
Ability to learn about pharmacy-related fundamentals, including the correct pronunciation of drug names and general conditions for use.
Ability to engage and influence members toward developing behaviors that promote better health outcomes.
Demonstrate dependability, self-motivation and goal-orientation.
Ability to positively represent ESI’s vision and values when interacting with customers and members.
ABOUT THE DEPARTMENTThe Pharmacy Operations Group is crucial to achieving our mission of practicing pharmacy smarter and putting medicine within reach. Members of this team are at the front line every day interacting with patients, strategizing on improvements and efficiencies, and processing the more than one million prescriptions that come through our world-class pharmacies and distribution facilities across the country.ABOUT EXPRESS SCRIPTSAt Express Scripts, we dare to imagine a better health care system, and we’re driven to make it happen. Where some see obstacles, we see possibilities. We’re challengers, difference-makers and opportunity-seekers, united with our partners in pursuit of a simpler, more sustainable system and better health for all.We have always acted first to take on the toughest challenges. We uniquely partner across the health care ecosystem to uncover opportunities, take action, advance health care and deliver better outcomes – like no one else can. We believe health care can do more. We are Champions For BetterSM.Express Scripts, part of Cigna Corporation, unlocks new value in pharmacy, medical and beyond to further total health for all.Express Scripts is an equal opportunity employer/disability/veteran
Vacancy caducado!