Are you a student pursuing a degree in pharmacy? Are you an advocate of high-quality customer service? If so, this opportunity may be for you!This is an opportunity for students currently pursuing a degree in a relevant pharmacy program from an accredited university.This is a temporary position available to pharmacy students during their summer break ranging between the months of May through August working daylight hours and optional weekends. This is a remote role with work-from-home privileges. (privilege eligibility is subject to continued achievement of business goals and on-site department needs).This role will support the provision of pharmaceutical care through member, pharmacy, and provider interactions to discuss and resolve medication-related issues. These services will be provided in compliance with state and federal regulations, NCQA standards, the mission, policies, and procedures of UPMC Health Plan and the Pharmacy Department.Responsibilities:
Complete calls efficiently and with high quality to meet call center key performance metrics.
Remains current on departmental policies, procedures, formularies, and regulatory standards.
Receive inbound calls from and deploy outbound calls to members, pharmacies, and physicians determining the appropriate action and understanding the appropriate cases to escalate to a pharmacist.
Supports the pharmacist with completion of comprehensive medication reviews through pre-work up and case preparation.
Maintain all patient information and records. Maintain the pharmacy computer system as required.
Adhere to organizational procedures, including ensuring secure privacy and confidentiality as required by HIPAA, employing effective communication methods to maintain call control, documenting appropriate comments, and acting in alignment with all State Regulations and Federal Laws.
Ensures first call resolution to effectively resolve member needs and concerns.
Engages in the execution of medication therapy management protocols through interventions with members, pharmacies, and providers.
Participate in departmental quality improvement activities, including clinical opportunities as well as operational efficiencies in order to continually improve and evaluate pharmaceutical care as reflected by operational and patient care indicators.
Assist in the training of pharmacy personnel and students.
Complete appropriate documentation regarding interventions.
High School Diploma Strongly Preferred Licensure, Certifications, and Clearances: UPMC is an Equal Opportunity Employer/Disability/Veteran